Deborah Casey Lmsw Llc | |
8308 Office Park Dr Ste 2 Grand Blanc MI 48439-2075 | |
(810) 207-3112 | |
Not Available |
Full Name | Deborah Casey Lmsw Llc |
---|---|
Speciality | Social Worker |
Location | 8308 Office Park Dr Ste 2, Grand Blanc, Michigan |
Authorized Official Name and Position | Deborah A Casey (CLINICAL DIRECTOR) |
Authorized Official Contact | 8102073112 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Deborah Casey Lmsw Llc 7055 Windridge Ln Flint MI 48507-4693 Ph: () - | Deborah Casey Lmsw Llc 8308 Office Park Dr Ste 2 Grand Blanc MI 48439-2075 Ph: (810) 207-3112 |
NPI Number | 1154969665 |
---|---|
Provider Enumeration Date | 12/16/2019 |
Last Update Date | 12/16/2019 |
Certification Date | 12/16/2019 |
Medicare PECOS PAC ID | 9739515966 |
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Medicare Enrollment ID | O20200207000658 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154969665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Deborah A Casey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538497938 PECOS PAC ID: 0143458117 Enrollment ID: I20140121000875 |
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