Shell Freeman, | |
14799 Dix Toledo Rd, Southgate, MI 48195-2507 | |
(734) 324-8326 | |
Not Available |
Full Name | Shell Freeman |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 9 Years |
Location | 14799 Dix Toledo Rd, Southgate, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093199713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801098321 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801107854 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Downriver Mental Health Clinic Pc | 7911995139 | 186 |
Entity Name | Downriver Mental Health Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533 |
Entity Name | Transcending Hope Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396367694 PECOS PAC ID: 3971914441 Enrollment ID: O20201204002498 |
Mailing Address | Practice Location Address |
---|---|
Shell Freeman, 618 Chrysler Dr Apt 201, Detroit, MI 48207-3055 Ph: (313) 778-2532 | Shell Freeman, 14799 Dix Toledo Rd, Southgate, MI 48195-2507 Ph: (734) 324-8326 |
Shannon Baynai, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 | |
Mr. Kenneth Love Ii, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14799 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-324-8326 Fax: 734-324-8327 | |
David Copeland, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13305 Reeck Ct, Southgate, MI 48195 Phone: 734-225-2090 | |
Zahraa Saab, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14799 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-324-8326 Fax: 734-324-8327 | |
Mr. James Gerard Livingston, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Suite 400, Southgate, MI 48195 Phone: 734-785-7705 Fax: 734-785-7734 | |
Vickie Lynn Novell, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 | |
Claudette Jefferson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7705 |