Theresa Waurzyniak Kelly, LMSW | |
10785 S Saginaw St, Bldg. E, Ste. A, Grand Blanc, MI 48439-7003 | |
(810) 695-0055 | |
(810) 695-6813 |
Full Name | Theresa Waurzyniak Kelly |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 41 Years |
Location | 10785 S Saginaw St, Grand Blanc, 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 |
---|---|---|---|
1720527146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801018578 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oakland Psychological Clinic Pc | 2163315086 | 40 |
Entity Name | Oakland Psychological Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538356282 PECOS PAC ID: 2163315086 Enrollment ID: O20040507000830 |
Entity Name | Optum Behavioral Care Of Colorado, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851161285 PECOS PAC ID: 0941648463 Enrollment ID: O20240423001699 |
Mailing Address | Practice Location Address |
---|---|
Theresa Waurzyniak Kelly, LMSW 12141 Townline Rd, Grand Blanc, MI 48439-1659 Ph: (810) 513-9017 | Theresa Waurzyniak Kelly, LMSW 10785 S Saginaw St, Bldg. E, Ste. A, Grand Blanc, MI 48439-7003 Ph: (810) 695-0055 |
Rachel Johnson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8240 Embury Rd, Grand Blanc, MI 48439 Phone: 810-777-2000 | |
Jennifer Ann Dearmond, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8240 Embury Rd, Grand Blanc, MI 48439 Phone: 810-624-0234 | |
Kayley A Corneau, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 S Saginaw St Ste D, Grand Blanc, MI 48439 Phone: 810-771-4074 | |
Mr. Andrew Joseph Gagne, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8245 Holly Rd Ste 200, Grand Blanc, MI 48439 Phone: 810-242-3740 | |
Mr. Brandon Lee Taylor, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7227 Fenton Rd, Grand Blanc, MI 48439 Phone: 810-771-4074 | |
Lynn Lanee Stark, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9254 Vassar Rd, Grand Blanc, MI 48439 Phone: 989-723-5153 | |
Denise Smith, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8435 Holly Rd, Grand Blanc, MI 48439 Phone: 810-603-8800 Fax: 810-579-7222 |