Constance A Black-pond, is a
Social Worker - Clinical based in Kalamazoo, Michigan. Constance A Black-pond is licensed to practice in Michigan (license number 6801059966) and her current practice location is
4000 Portage St, Suite 210, Kalamazoo, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 373-6447.
NPI number for Constance A Black-pond is 1679582548 and her current mailing address is 487 Cherryview Dr, Portage, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679582548.
Healthcare Provider's Profile
Full Name | Constance A Black-pond |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4000 Portage St, Kalamazoo, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679582548
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Constance A Black-pond such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679582548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 6401001080 (Michigan) | Primary |
1041C0700X | Social Worker - Clinical | 6801059966 (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. Constance A Black-pond 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 |
Constance A Black-pond, 487 Cherryview Dr, Portage, MI 49024 Ph: (269) 373-6447 | Constance A Black-pond, 4000 Portage St, Suite 210, Kalamazoo, MI 49001-6900 Ph: (269) 373-6447 |
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