Barbara W. Gustin, Lmsw, Llc | |
2001 Hudson Ave Kalamazoo MI 49008-1889 | |
(269) 352-6644 | |
Not Available |
Full Name | Barbara W. Gustin, Lmsw, Llc |
---|---|
Speciality | Social Worker |
Location | 2001 Hudson Ave, Kalamazoo, Michigan |
Authorized Official Name and Position | Barbara Gustin (OWNER) |
Authorized Official Contact | 2693526644 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Barbara W. Gustin, Lmsw, Llc 2750 Bronson Blvd Kalamazoo MI 49008-2361 Ph: (269) 352-6644 | Barbara W. Gustin, Lmsw, Llc 2001 Hudson Ave Kalamazoo MI 49008-1889 Ph: (269) 352-6644 |
NPI Number | 1023541612 |
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Provider Enumeration Date | 04/10/2017 |
Last Update Date | 02/20/2024 |
Certification Date | 02/20/2024 |
Medicare PECOS PAC ID | 7719264902 |
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Medicare Enrollment ID | O20170425001496 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023541612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Barbara Walt Gustin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346206521 PECOS PAC ID: 8628086196 Enrollment ID: I20060324000036 |
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