| Caitlin Yanakeff Lmsw Llc | |
|
915 Airport Rd Jackson MI 49202-1872 | |
| (517) 206-3016 | |
| Not Available |
| Full Name | Caitlin Yanakeff Lmsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 915 Airport Rd, Jackson, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlin Yanakeff Lmsw Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Caitlin Yanakeff Lmsw Llc 915 Airport Rd Jackson MI 49202-1872 Ph: (517) 206-3016 |
| NPI Number | 1639817752 |
|---|---|
| Provider Enumeration Date | 05/27/2022 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Medicare PECOS PAC ID | 7214315258 |
|---|---|
| Medicare Enrollment ID | O20220603001884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639817752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Caitlin M Yanakeff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316294374 PECOS PAC ID: 3971730185 Enrollment ID: I20170627000434 |
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