Ginger Radd Blair, MSW | |
4222 E Mcnichols Rd Ste A, Detroit, MI 48212-1718 | |
(313) 369-1717 | |
(313) 369-1728 |
Full Name | Ginger Radd Blair |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 49 Years |
Location | 4222 E Mcnichols Rd Ste A, Detroit, 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 |
---|---|---|---|
1821181975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6801035843 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Abh Corporation | 6406928332 | 4 |
Lakes Psychiatric Center, Pllc | 8820226632 | 7 |
Entity Name | Abh Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487828281 PECOS PAC ID: 6406928332 Enrollment ID: O20080709000286 |
Entity Name | Lakes Psychiatric Center, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740619121 PECOS PAC ID: 8820226632 Enrollment ID: O20140123001992 |
Mailing Address | Practice Location Address |
---|---|
Ginger Radd Blair, MSW 35458 Ravine Blvd, Farmington Hills, MI 48335-2470 Ph: (313) 415-1449 | Ginger Radd Blair, MSW 4222 E Mcnichols Rd Ste A, Detroit, MI 48212-1718 Ph: (313) 369-1717 |
Anthony Jerome Allen, AAS., CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 12010 Linwood St, Detroit, MI 48206 Phone: 313-867-1090 Fax: 313-867-0706 | |
Mr. Brian R Cogliati, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1852 W Grand Blvd, 1852 W. Grand Blvd, Detroit, MI 48208 Phone: 313-894-8444 Fax: 313-894-5542 | |
Mr. Gregory Charles Guice, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 Taylor Ave., Detroit, MI 48202 Phone: 313-874-8715 | |
Ms. Carol Potter, MA, BCBA, LBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Hunt St, Detroit, MI 48207 Phone: 248-537-2516 | |
Mrs. Lisa Polk-woolfolk, MS, LLPC, CAC-M Counselor Medicare: Not Enrolled in Medicare Practice Location: 3731 Rivard St, Detroit, MI 48207 Phone: 313-258-9713 | |
Alicia Monique Lurry, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8171 Parkland, Detroit, MI 48239 Phone: 313-282-7567 | |
Mr. Darren Kilgore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 269 Walker St, 538, Detroit, MI 48207 Phone: 313-610-0134 |