Shelby Jason Kucharek, LLMSW is a
Counselor - Addiction (substance Use Disorder) based in Gaylord, Michigan. Shelby Jason Kucharek is licensed to practice in Michigan (license number 68511160000) and her current practice location is
829 W Main St Ste C, Gaylord, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 732-6761.
NPI number for Shelby Jason Kucharek is 1326733551 and her current mailing address is 829 W Main St Ste C, Gaylord, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326733551.
Healthcare Provider's Profile
Full Name | Shelby Jason Kucharek |
---|
Gender | Female |
---|
Speciality | Counselor - Addiction (substance Use Disorder) |
---|
Location | 829 W Main St Ste C, Gaylord, Michigan |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326733551
- Provider Enumeration Date: 04/05/2023
- Last Update Date: 07/15/2024
Medical Identifiers
Medical identifiers for Shelby Jason Kucharek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326733551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 68511160000 (Michigan) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 68511160000 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelby Jason Kucharek is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shelby Jason Kucharek, LLMSW 829 W Main St Ste C, Gaylord, MI 49735-1998 Ph: (989) 732-6761 | Shelby Jason Kucharek, LLMSW 829 W Main St Ste C, Gaylord, MI 49735-1998 Ph: (989) 732-6761 |
Reviews and Comments