Taylor Davis, LMSW | |
57418 County Road 681 Ste C, Hartford, MI 49057-9422 | |
(269) 427-5671 | |
Not Available |
Full Name | Taylor Davis |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 57418 County Road 681 Ste C, Hartford, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376058792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801099625 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801114897 (Michigan) | Primary |
Entity Name | Van Buren Community Mental Health Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003878554 PECOS PAC ID: 6800863788 Enrollment ID: O20040910000867 |
Mailing Address | Practice Location Address |
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Taylor Davis, LMSW 801 Hazen St Ste C, Paw Paw, MI 49079-2008 Ph: () - | Taylor Davis, LMSW 57418 County Road 681 Ste C, Hartford, MI 49057-9422 Ph: (269) 427-5671 |
Danielle Gatny, LMSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 57418 County Road 681 Ste C, Hartford, MI 49057 Phone: 269-621-6251 | |
Araceli Alvarez, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 E Main St, Hartford, MI 49057 Phone: 269-621-0011 Fax: 269-308-3336 |