Tonya J Dutton, LMSW | |
17325 Van Wagoner Rd, Spring Lake, MI 49456-9702 | |
(616) 847-5145 | |
Not Available |
Full Name | Tonya J Dutton |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 17325 Van Wagoner Rd, Spring Lake, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1225383474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 6801086202 (Michigan) | Primary |
Entity Name | Pine Rest Christian Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922019157 PECOS PAC ID: 4981506508 Enrollment ID: O20040123000787 |
Mailing Address | Practice Location Address |
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Tonya J Dutton, LMSW 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Tonya J Dutton, LMSW 17325 Van Wagoner Rd, Spring Lake, MI 49456-9702 Ph: (616) 847-5145 |
Rachel Mcclenahan, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130 | |
Linda Ann Johnson, LCSW, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 17325 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-847-5145 | |
Ms. Janice Marie Esh, ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 107 S Division St, Spring Lake, MI 49456 Phone: 616-847-0207 Fax: 616-296-9217 | |
Ms. Mary Vermeulen, LLMSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 107 S Division St, Spring Lake, MI 49456 Phone: 616-847-0207 Fax: 231-981-5277 | |
Mr. John Robert Kleinheksel Jr., M. DIV. L.M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 225 E Exchange St, Spring Lake, MI 49456 Phone: 616-842-1985 Fax: 616-842-3476 | |
Tracy Piasecki, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 S Division St, Spring Lake, MI 49456 Phone: 616-402-3632 |