| Candice Carrasco, Pllc | |
|
2109 Hamilton Rd Ste 100-a Okemos MI 48864-1772 | |
| (517) 375-2672 | |
| Not Available |
| Full Name | Candice Carrasco, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2109 Hamilton Rd Ste 100-a, Okemos, Michigan |
| Authorized Official Name and Position | Candice M Carrasco (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5174496312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Candice Carrasco, Pllc Po Box 10 Mason MI 48854-0010 Ph: () - | Candice Carrasco, Pllc 2109 Hamilton Rd Ste 100-a Okemos MI 48864-1772 Ph: (517) 375-2672 |
| NPI Number | 1861777849 |
|---|---|
| Provider Enumeration Date | 10/20/2011 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Medicare PECOS PAC ID | 7214152529 |
|---|---|
| Medicare Enrollment ID | O20140630001327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861777849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Sarah J Crowgey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740566553 PECOS PAC ID: 2769605674 Enrollment ID: I20140522000383 |
| Provider Name | Candice M Carrasco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528252780 PECOS PAC ID: 5991920217 Enrollment ID: I20140630001684 |
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