| Crystal Shilling, Lmsw, Llc | |
|
27620 Farmington Rd Ste 220 Farmington Hills MI 48334-3349 | |
| (313) 591-1091 | |
| Not Available |
| Full Name | Crystal Shilling, Lmsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 27620 Farmington Rd Ste 220, Farmington Hills, Michigan |
| Authorized Official Name and Position | Crystal Shilling (OWNER) |
| Authorized Official Contact | 3135911091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Shilling, Lmsw, Llc 19559 Brentwood St Livonia MI 48152-2203 Ph: () - | Crystal Shilling, Lmsw, Llc 27620 Farmington Rd Ste 220 Farmington Hills MI 48334-3349 Ph: (313) 591-1091 |
| NPI Number | 1942967286 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 11/22/2021 |
| Certification Date | 11/22/2021 |
| Medicare PECOS PAC ID | 1759771744 |
|---|---|
| Medicare Enrollment ID | O20211206002764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942967286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Crystal C Shilling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881957967 PECOS PAC ID: 5496055725 Enrollment ID: I20151118001754 |
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