| Heckendorn Consultation And Therapy, Pllc | |
|
220 Collingwood St Ste 140 Ann Arbor MI 48103-3842 | |
| (734) 274-0536 | |
| (734) 527-6184 |
| Full Name | Heckendorn Consultation And Therapy, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 220 Collingwood St Ste 140, Ann Arbor, Michigan |
| Authorized Official Name and Position | Jennifer Trina Heckendorn (CEO) |
| Authorized Official Contact | 7342740536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heckendorn Consultation And Therapy, Pllc 220 Collingwood St Ste 140 Ann Arbor MI 48103-3842 Ph: (734) 274-0536 | Heckendorn Consultation And Therapy, Pllc 220 Collingwood St Ste 140 Ann Arbor MI 48103-3842 Ph: (734) 274-0536 |
| NPI Number | 1467883587 |
|---|---|
| Provider Enumeration Date | 11/30/2013 |
| Last Update Date | 02/22/2019 |
| Medicare PECOS PAC ID | 1254551096 |
|---|---|
| Medicare Enrollment ID | O20140930001470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467883587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer T Heckendorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194067421 PECOS PAC ID: 9830328798 Enrollment ID: I20140219000469 |
| Provider Name | Camilla Arntzen Skill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134750250 PECOS PAC ID: 8022448836 Enrollment ID: I20200419000391 |
| Provider Name | Leslie Dominique Barroso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821590316 PECOS PAC ID: 4385074640 Enrollment ID: I20200429000316 |
| Provider Name | Alessandra Iaderosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528654241 PECOS PAC ID: 0547674608 Enrollment ID: I20210201001156 |
| Provider Name | Leslie J Dubin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043816820 PECOS PAC ID: 1153735212 Enrollment ID: I20210201001318 |
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