Ms Keli Marie Kildow-polymeneas, LMSW is a
Social Worker - Clinical based in Southfield, Michigan. Ms Keli Marie Kildow-polymeneas is licensed to practice in Michigan (license number 6801086283) and her current practice location is
22170 W 9 Mile Rd, Southfield, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 357-8182.
NPI number for Ms Keli Marie Kildow-polymeneas is 1295046910 and her current mailing address is 22170 W 9 Mile Rd, Southfield, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295046910.
Healthcare Provider's Profile
| Full Name | Ms Keli Marie Kildow-polymeneas |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 22170 W 9 Mile Rd, Southfield, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295046910
- Provider Enumeration Date: 06/28/2010
- Last Update Date: 06/28/2010
Medical Identifiers
Medical identifiers for Ms Keli Marie Kildow-polymeneas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295046910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C-00447 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801086283 (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 Keli Marie Kildow-polymeneas 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 Keli Marie Kildow-polymeneas, LMSW
22170 W 9 Mile Rd,
Southfield, MI 48033-6007
Ph: (248) 357-8182 | Ms Keli Marie Kildow-polymeneas, LMSW
22170 W 9 Mile Rd,
Southfield, MI 48033-6007
Ph: (248) 357-8182 |
Reviews and Comments