Shelby Jason Kucharek, LLMSW - in Gaylord, MI

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.

Contact Information

Shelby Jason Kucharek, LLMSW
829 W Main St Ste C,
Gaylord, MI 49735-1998
(989) 732-6761
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShelby Jason Kucharek
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location829 W Main St Ste C, Gaylord, Michigan
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1326733551NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 68511160000 (Michigan)Secondary
101YA0400XCounselor - 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 AddressPractice 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



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