Ms Jasmine Anngenika Fambro, LLMSW is a
Social Worker based in Clinton Township, Michigan. Ms Jasmine Anngenika Fambro is licensed to practice in Michigan (license number 6801097829) and her current practice location is
43740 N Groesbeck Hwy, Clinton Township, Michigan. She can be reached at her office (for appointments etc.) via phone at
(586) 469-7629.
NPI number for Ms Jasmine Anngenika Fambro is 1225372386 and her current mailing address is 43740 N Groesbeck Hwy, Clinton Township, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225372386.
Healthcare Provider's Profile
| Full Name | Ms Jasmine Anngenika Fambro |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | 43740 N Groesbeck Hwy, Clinton Township, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225372386
- Provider Enumeration Date: 11/15/2012
- Last Update Date: 05/02/2018
Medical Identifiers
Medical identifiers for Ms Jasmine Anngenika Fambro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225372386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 247200000X | Technician, Other | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 6801097829 (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. Ms Jasmine Anngenika Fambro 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 |
|---|
Ms Jasmine Anngenika Fambro, LLMSW
43740 N Groesbeck Hwy,
Clinton Township, MI 48036-1139
Ph: (586) 469-7629 | Ms Jasmine Anngenika Fambro, LLMSW
43740 N Groesbeck Hwy,
Clinton Township, MI 48036-1139
Ph: (586) 469-7629 |
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