Traci A Doran, LMSW is a
Social Worker - Clinical based in Johannesburg, Michigan. Traci A Doran is licensed to practice in Michigan (license number 6801118756) and her current practice location is
10936 Old State Road, Johannesburg, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 755-3228.
NPI number for Traci A Doran is 1023770393 and her current mailing address is Po Box 196, Luzerne, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023770393.
Healthcare Provider's Profile
Full Name | Traci A Doran |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 10936 Old State Road, Johannesburg, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023770393
- Provider Enumeration Date: 10/13/2021
- Last Update Date: 10/23/2024
Medical Identifiers
Medical identifiers for Traci A Doran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023770393 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801118756 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Traci A Doran is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Traci A Doran, LMSW Po Box 196, Luzerne, MI 48636-0196 Ph: (734) 755-3228 | Traci A Doran, LMSW 10936 Old State Road, Johannesburg, MI 49751 Ph: (734) 755-3228 |
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