Mr Mary Alice Jennings, SW, CAC1 is a
Social Worker based in Detroit, Michigan. Mr Mary Alice Jennings is licensed to practice in Michigan (license number 6802057046) and her current practice location is
13336 E. Warren Ave, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 822-6940.
NPI number for Mr Mary Alice Jennings is 1912026758 and her current mailing address is 775 Moorland Dr, Grosse Pointe Woods, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912026758.
Healthcare Provider's Profile
Full Name | Mr Mary Alice Jennings |
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Gender | Female |
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Speciality | Social Worker |
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Location | 13336 E. Warren Ave, Detroit, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912026758
- Provider Enumeration Date: 03/29/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Mary Alice Jennings such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912026758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1-00266 (Michigan) | Primary |
104100000X | Social Worker | 6802057046 (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. Mr Mary Alice Jennings 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 |
Mr Mary Alice Jennings, SW, CAC1 775 Moorland Dr, Grosse Pointe Woods, MI 48236-1128 Ph: (313) 886-2724 | Mr Mary Alice Jennings, SW, CAC1 13336 E. Warren Ave, Detroit, MI 48236-1128 Ph: (313) 822-6940 |
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