| Catholic Charities Of Southeast Michigan | |
|
515 E 11 Mile Rd Madison Heights MI 48071-3701 | |
| (248) 548-4044 | |
| (248) 548-9239 |
| Full Name | Catholic Charities Of Southeast Michigan |
|---|---|
| Speciality | Social Worker |
| Location | 515 E 11 Mile Rd, Madison Heights, Michigan |
| Authorized Official Name and Position | Andrea Michele Foley (COO) |
| Authorized Official Contact | 2485484044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of Southeast Michigan 24445 Northwestern Hwy Ste 200 Southfield MI 48075-2437 Ph: (586) 416-2300 | Catholic Charities Of Southeast Michigan 515 E 11 Mile Rd Madison Heights MI 48071-3701 Ph: (248) 548-4044 |
| NPI Number | 1316283757 |
|---|---|
| Provider Enumeration Date | 12/12/2012 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Medicare PECOS PAC ID | 0042450553 |
|---|---|
| Medicare Enrollment ID | O20130705000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316283757 | NPI | - | NPPES |
| Provider Name | Kimberly T Burdick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073635272 PECOS PAC ID: 2163495995 Enrollment ID: I20040818001093 |
| Provider Name | Jolene Irene Lepien-doan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285822718 PECOS PAC ID: 2769524677 Enrollment ID: I20100114000790 |
| Provider Name | John Charles Mitchell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043308455 PECOS PAC ID: 3779765656 Enrollment ID: I20110314000886 |
| Provider Name | Tiffany L Scurto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467652586 PECOS PAC ID: 3870776248 Enrollment ID: I20110322000721 |
| Provider Name | Camella M Gild |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902902117 PECOS PAC ID: 3072749373 Enrollment ID: I20131114001575 |
| Provider Name | Kimberly A Koester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619326022 PECOS PAC ID: 0446548531 Enrollment ID: I20161005000401 |
| Provider Name | Anna Licavoli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396020483 PECOS PAC ID: 3173803400 Enrollment ID: I20161202001777 |
| Provider Name | Kathleen M Cavanaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518238385 PECOS PAC ID: 2769763242 Enrollment ID: I20161220002208 |
| Provider Name | Eric Norat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285018291 PECOS PAC ID: 4082951702 Enrollment ID: I20190201002709 |
| Provider Name | Diana Rusin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851981963 PECOS PAC ID: 0749639565 Enrollment ID: I20231205003176 |
| Provider Name | Tonya Moyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740667153 PECOS PAC ID: 4486099587 Enrollment ID: I20240228003248 |
| Provider Name | Andrea Lyn Tucker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215593579 PECOS PAC ID: 7214372275 Enrollment ID: I20240229001538 |
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Tri-county Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 711 W 13 Mile Rd, Suite 100, Madison Heights, MI 48071 Phone: 248-535-5685 | |
Betty Thack Ma Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 West Thirteen Mile Rd, Betty Thack Ma Lpc, Madison Heights, MI 48071 Phone: 248-761-9771 | |
Mrgmpnneurology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27483 Dequindre Rd, #306, Madison Heights, MI 48071 Phone: 248-967-7988 Fax: 248-967-7991 | |
St John Health Chronic Headache And Migraine Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27483 Dequindre Rd, Suite 306, Madison Heights, MI 48071 Phone: 248-967-7988 Fax: 248-967-7991 | |
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