| Brynn Bodi, Lmsw, L.l.c. | |
|
455 E Eisenhower Pkwy Ste 15 Ann Arbor MI 48108-3321 | |
| (734) 408-1442 | |
| Not Available |
| Full Name | Brynn Bodi, Lmsw, L.l.c. |
|---|---|
| Speciality | Social Worker |
| Location | 455 E Eisenhower Pkwy Ste 15, Ann Arbor, Michigan |
| Authorized Official Name and Position | Brynn Bodi (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7344081442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brynn Bodi, Lmsw, L.l.c. 452 E Michigan Ave Grass Lake MI 49240-9501 Ph: (207) 355-5929 | Brynn Bodi, Lmsw, L.l.c. 455 E Eisenhower Pkwy Ste 15 Ann Arbor MI 48108-3321 Ph: (734) 408-1442 |
| NPI Number | 1356842736 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 02/22/2018 |
| Medicare PECOS PAC ID | 2961767801 |
|---|---|
| Medicare Enrollment ID | O20180524002329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356842736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brynn M Bodi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184980146 PECOS PAC ID: 3971899402 Enrollment ID: I20160909001698 |
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