Stephanie Hicks, | |
3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | |
(906) 632-2805 | |
(906) 632-1163 |
Full Name | Stephanie Hicks |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3865 S Mackinac Trl, Sault Sainte Marie, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922422898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Hiawatha Community Behavioral Health Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629161567 PECOS PAC ID: 3870509490 Enrollment ID: O20060306000454 |
Mailing Address | Practice Location Address |
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Stephanie Hicks, 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 Ph: () - | Stephanie Hicks, 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 Ph: (906) 632-2805 |
Ms. Lillian M Mcbroom, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 517 W Easterday Ave, Sault Sainte Marie, MI 49783 Phone: 906-635-1508 Fax: 906-635-7369 | |
Mr. Thomas Kerr, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783 Phone: 906-632-2805 | |
Sandra Pumphrey, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783 Phone: 906-632-2805 | |
Nicole Lyn Kozal, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2864 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-635-6075 | |
Goldie Lynn Cooper, LMSW,QMHP,QIDP,CMHP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783 Phone: 906-635-3725 Fax: 906-632-1163 | |
Christine Akkanen, M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 128 W Spruce St Ste 23, Sault Sainte Marie, MI 49783 Phone: 906-635-1390 Fax: 906-635-1390 | |
Mallinda Lumsden, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2864 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-5200 Fax: 906-632-5276 |