| Henry Ford Health System | |
|
2799 W Grand Blvd Detroit MI 48202-2608 | |
| (313) 916-2600 | |
| Not Available |
| Full Name | Henry Ford Health System |
|---|---|
| Speciality | Social Worker |
| Location | 2799 W Grand Blvd, Detroit, Michigan |
| Authorized Official Name and Position | Kelly Ratowski (DIRECTOR OF PROVIDER AFFAIRS) |
| Authorized Official Contact | 2487032003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Ford Health System 2799 W Grand Blvd Detroit MI 48202-2608 Ph: (313) 916-2600 | Henry Ford Health System 2799 W Grand Blvd Detroit MI 48202-2608 Ph: (313) 916-2600 |
| NPI Number | 1689732414 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Medicare PECOS PAC ID | 0547178311 |
|---|---|
| Medicare Enrollment ID | O20031210000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689732414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 830190 (Michigan) | Primary |
| Provider Name | Renee A Creal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043311921 PECOS PAC ID: 1658270095 Enrollment ID: I20040106000116 |
| Provider Name | Souad Maadarani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134220726 PECOS PAC ID: 6901792639 Enrollment ID: I20040227000426 |
| Provider Name | Rhonda S Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801810056 PECOS PAC ID: 0547239022 Enrollment ID: I20041004000061 |
| Provider Name | Suzy T Lincoln |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245392786 PECOS PAC ID: 5597729194 Enrollment ID: I20041115000044 |
| Provider Name | Nadine Reyher Lovell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801975503 PECOS PAC ID: 9335104561 Enrollment ID: I20041129000882 |
| Provider Name | Moira Kennedy Simms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891857355 PECOS PAC ID: 2860457090 Enrollment ID: I20041129000904 |
| Provider Name | Margaret M Little |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285735324 PECOS PAC ID: 7113978594 Enrollment ID: I20050216000781 |
| Provider Name | John Dubosh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407957384 PECOS PAC ID: 5890728950 Enrollment ID: I20050919000270 |
| Provider Name | Ann E Harwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043301112 PECOS PAC ID: 2163431933 Enrollment ID: I20060406000559 |
| Provider Name | April L Danford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992816250 PECOS PAC ID: 2365541612 Enrollment ID: I20070627000215 |
| Provider Name | Nicole T Glickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750563656 PECOS PAC ID: 0547340192 Enrollment ID: I20080108000697 |
| Provider Name | Ginger Ann St John |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629084959 PECOS PAC ID: 0547343899 Enrollment ID: I20080211000456 |
| Provider Name | Laura L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952569410 PECOS PAC ID: 8123194479 Enrollment ID: I20080910000302 |
| Provider Name | Michelle L Ewald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639328099 PECOS PAC ID: 0547338816 Enrollment ID: I20081014000514 |
| Provider Name | Jung Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023268661 PECOS PAC ID: 0941342703 Enrollment ID: I20100118000135 |
| Provider Name | Christine V Reeves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568788164 PECOS PAC ID: 0244364206 Enrollment ID: I20100813000108 |
| Provider Name | Barbara B White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114025509 PECOS PAC ID: 6204960503 Enrollment ID: I20100820000937 |
| Provider Name | Charlotte Beachem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316126824 PECOS PAC ID: 9032308556 Enrollment ID: I20110113000706 |
| Provider Name | Jeffrey J Devore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417055195 PECOS PAC ID: 0244410595 Enrollment ID: I20110203001071 |
| Provider Name | Laura B Dell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275782559 PECOS PAC ID: 4688855414 Enrollment ID: I20110225000709 |
| Provider Name | Jean Marie J El Fakhoury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093862161 PECOS PAC ID: 0840473401 Enrollment ID: I20110321000397 |
| Provider Name | Kathleen L Candler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316074552 PECOS PAC ID: 3375727928 Enrollment ID: I20110406000705 |
| Provider Name | Gary K Rasmussen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255626727 PECOS PAC ID: 4688846447 Enrollment ID: I20111020000565 |
| Provider Name | Marla G Shiffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316045941 PECOS PAC ID: 5395911424 Enrollment ID: I20111220000544 |
| Provider Name | Jeanne M Kurmas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922108174 PECOS PAC ID: 7113194192 Enrollment ID: I20120113000513 |
| Provider Name | Kathleen Ransome |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023119633 PECOS PAC ID: 0749448892 Enrollment ID: I20120221001009 |
| Provider Name | Shari L Mansky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689774929 PECOS PAC ID: 2961662317 Enrollment ID: I20120322000424 |
| Provider Name | Theresa A Camden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346513785 PECOS PAC ID: 3072776392 Enrollment ID: I20120524000476 |
| Provider Name | Marilyn J Snowden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982965125 PECOS PAC ID: 3375548555 Enrollment ID: I20120718000923 |
| Provider Name | Elizabeth A Bradford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134225758 PECOS PAC ID: 6800048414 Enrollment ID: I20121206000015 |
| Provider Name | David R Zaporski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124166822 PECOS PAC ID: 9032344940 Enrollment ID: I20131031000901 |
| Provider Name | Teresa A Boles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861619603 PECOS PAC ID: 4981832052 Enrollment ID: I20140117000302 |
| Provider Name | Audrey Gilliatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083739007 PECOS PAC ID: 2365673282 Enrollment ID: I20140318001011 |
| Provider Name | Chelsey E Seiler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841562998 PECOS PAC ID: 2567694938 Enrollment ID: I20140417000915 |
| Provider Name | Ruqaiyah S Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003236662 PECOS PAC ID: 1254556657 Enrollment ID: I20140626002220 |
| Provider Name | Claudia Cacciato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184055790 PECOS PAC ID: 1951619956 Enrollment ID: I20150924000965 |
| Provider Name | Ashton K Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124408372 PECOS PAC ID: 0941519474 Enrollment ID: I20151022001797 |
| Provider Name | Tierra J Emerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780921932 PECOS PAC ID: 9739499963 Enrollment ID: I20151030000598 |
| Provider Name | Crystal C Shilling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881957967 PECOS PAC ID: 5496055725 Enrollment ID: I20151118001754 |
| Provider Name | Libby Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720452931 PECOS PAC ID: 2860796711 Enrollment ID: I20160212001573 |
| Provider Name | Mohammad Hanif |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114976503 PECOS PAC ID: 6002842804 Enrollment ID: I20160511000091 |
| Provider Name | Lemica S Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538369301 PECOS PAC ID: 0345539854 Enrollment ID: I20160523000345 |
| Provider Name | Jesse D Lalla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083069223 PECOS PAC ID: 3678869658 Enrollment ID: I20160831002140 |
| Provider Name | Kristen E Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477007490 PECOS PAC ID: 7214225523 Enrollment ID: I20161019000487 |
| Provider Name | Rita T Kainaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225218753 PECOS PAC ID: 5294013785 Enrollment ID: I20161104000041 |
| Provider Name | Amy Prosch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336230739 PECOS PAC ID: 8426335977 Enrollment ID: I20170510001170 |
| Provider Name | Jasmine R Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821539875 PECOS PAC ID: 8325325871 Enrollment ID: I20170510001217 |
| Provider Name | Alana M Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033509112 PECOS PAC ID: 5698052140 Enrollment ID: I20170510001238 |
| Provider Name | Amanda R May |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750822052 PECOS PAC ID: 8022395433 Enrollment ID: I20170511001246 |
| Provider Name | Carmela Wilder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740723659 PECOS PAC ID: 5294005336 Enrollment ID: I20170721001132 |
| Provider Name | Jessica V Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821472382 PECOS PAC ID: 8022389824 Enrollment ID: I20170811001060 |
| Provider Name | Estavanica B Ries |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801303904 PECOS PAC ID: 8224399357 Enrollment ID: I20180306000204 |
| Provider Name | Nicolette L Doto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770081341 PECOS PAC ID: 4688936032 Enrollment ID: I20180322001351 |
| Provider Name | Leigh C Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760996011 PECOS PAC ID: 6204199797 Enrollment ID: I20180416001166 |
| Provider Name | Tara Pittman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225493745 PECOS PAC ID: 2961759063 Enrollment ID: I20180720000622 |
| Provider Name | Kristin A Felgenauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962798272 PECOS PAC ID: 2365790102 Enrollment ID: I20180809005650 |
| Provider Name | Jabette I Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255639936 PECOS PAC ID: 6800145327 Enrollment ID: I20180816002194 |
| Provider Name | April I Sanford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033557558 PECOS PAC ID: 8325397847 Enrollment ID: I20180816002282 |
| Provider Name | Kyle A Foley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891051264 PECOS PAC ID: 0840540753 Enrollment ID: I20180913001308 |
| Provider Name | Jessica Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700255155 PECOS PAC ID: 1951653906 Enrollment ID: I20181002004021 |
| Provider Name | Kristen N Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619345238 PECOS PAC ID: 5799039756 Enrollment ID: I20181112000843 |
| Provider Name | Toni Msw Broden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154806362 PECOS PAC ID: 9537403167 Enrollment ID: I20181207000872 |
| Provider Name | Maria Yoo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265934566 PECOS PAC ID: 2466798970 Enrollment ID: I20190103002353 |
| Provider Name | Erin M Randolph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720542772 PECOS PAC ID: 8729327432 Enrollment ID: I20190225000939 |
| Provider Name | Marie M Kerwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255431581 PECOS PAC ID: 6901146984 Enrollment ID: I20190329001392 |
| Provider Name | Deborah F Bienstock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639637283 PECOS PAC ID: 7113268566 Enrollment ID: I20190411001550 |
| Provider Name | Claudia Jean Pierre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700209913 PECOS PAC ID: 1254674336 Enrollment ID: I20190511000160 |
| Provider Name | Marcia Joi Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811241649 PECOS PAC ID: 8729314638 Enrollment ID: I20190731000829 |
| Provider Name | Jessica Lynn Boardman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356798821 PECOS PAC ID: 0749512408 Enrollment ID: I20191029003428 |
| Provider Name | Sarah Anna Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740831668 PECOS PAC ID: 9436581568 Enrollment ID: I20191112000857 |
| Provider Name | Amanda Poncil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417317470 PECOS PAC ID: 4981036886 Enrollment ID: I20191114002040 |
| Provider Name | Robert Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780930420 PECOS PAC ID: 6800043910 Enrollment ID: I20191121001793 |
| Provider Name | Mikki Lachelle Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740631589 PECOS PAC ID: 1658706379 Enrollment ID: I20200127000903 |
| Provider Name | John Brownlee Moir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699963074 PECOS PAC ID: 7315373420 Enrollment ID: I20200210001525 |
| Provider Name | Kgothatso White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053721076 PECOS PAC ID: 3678900248 Enrollment ID: I20200219002810 |
| Provider Name | Matthew Stewart-fulton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033685615 PECOS PAC ID: 7113354788 Enrollment ID: I20200219002821 |
| Provider Name | Lashawnda Gayden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417388174 PECOS PAC ID: 6800224486 Enrollment ID: I20200313000209 |
| Provider Name | Andrea Denise Motley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902240757 PECOS PAC ID: 7315362985 Enrollment ID: I20200730001745 |
| Provider Name | Tenaicsha Shuna Boyce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124582903 PECOS PAC ID: 0648681080 Enrollment ID: I20201116002335 |
| Provider Name | Amanda Rose Warden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740865682 PECOS PAC ID: 2860800786 Enrollment ID: I20210414001308 |
| Provider Name | London Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790236263 PECOS PAC ID: 8921416603 Enrollment ID: I20210419000289 |
| Provider Name | Maria Lockhart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417535444 PECOS PAC ID: 5890103592 Enrollment ID: I20210419001349 |
| Provider Name | Riley Banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255878336 PECOS PAC ID: 0749699569 Enrollment ID: I20210507001165 |
| Provider Name | Jacqueline Maria Beavers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558718502 PECOS PAC ID: 6709289374 Enrollment ID: I20210721000399 |
| Provider Name | Hanna Bell Newton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467088187 PECOS PAC ID: 0840694550 Enrollment ID: I20210803001429 |
| Provider Name | Monique Gaines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194104638 PECOS PAC ID: 2163812405 Enrollment ID: I20211201000982 |
| Provider Name | Paul Hardin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881059772 PECOS PAC ID: 1355736901 Enrollment ID: I20220316003867 |
| Provider Name | Ronald S Goheen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073166427 PECOS PAC ID: 2062808512 Enrollment ID: I20220408001384 |
| Provider Name | Meredith Sue Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679098271 PECOS PAC ID: 8729474234 Enrollment ID: I20220411001039 |
| Provider Name | Mary O'connor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629479761 PECOS PAC ID: 1254728850 Enrollment ID: I20220429000918 |
| Provider Name | Christine Nicole Hilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386387041 PECOS PAC ID: 7416338702 Enrollment ID: I20220718002881 |
| Provider Name | Olivia Jenai Burlison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235619222 PECOS PAC ID: 4688050131 Enrollment ID: I20221006001028 |
| Provider Name | Kristin Gregory-webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871030056 PECOS PAC ID: 0244616589 Enrollment ID: I20221010002876 |
| Provider Name | Luciana Wieckowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598117665 PECOS PAC ID: 4981074606 Enrollment ID: I20221221001089 |
| Provider Name | Julie Marie Bartkowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376055376 PECOS PAC ID: 6103297130 Enrollment ID: I20230130001279 |
| Provider Name | Pamela Gebrayel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770082869 PECOS PAC ID: 9436510971 Enrollment ID: I20230801001706 |
| Provider Name | Alyssia Chantel Hence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417420514 PECOS PAC ID: 7416310297 Enrollment ID: I20230825003174 |
| Provider Name | Caitlin Ashley Mcnorgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114705209 PECOS PAC ID: 7517312671 Enrollment ID: I20231009003304 |
| Provider Name | Melanie C Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902391378 PECOS PAC ID: 2961850870 Enrollment ID: I20231201002022 |
| Provider Name | Ashley Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922597319 PECOS PAC ID: 1456704592 Enrollment ID: I20240125001275 |
| Provider Name | Mal R Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235654880 PECOS PAC ID: 7315211703 Enrollment ID: I20240201000351 |
| Provider Name | Tracy Wickland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205247335 PECOS PAC ID: 7911343777 Enrollment ID: I20240314003319 |
| Provider Name | Fatima Azzahra Boubyane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689430993 PECOS PAC ID: 9234575960 Enrollment ID: I20240315002065 |
| Provider Name | Rachel Kohler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356967491 PECOS PAC ID: 1355780826 Enrollment ID: I20240416003979 |
| Provider Name | Megan Pennefather |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770299869 PECOS PAC ID: 2860834462 Enrollment ID: I20240529000268 |
Bjc Counseling And Behavioral Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16175 Asbury Park, Detroit, MI 48235 Phone: 313-673-1992 | |
Center For Establishing Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Riverfront Dr Apt 2610, Detroit, MI 48226 Phone: 313-288-2689 | |
Community Social Services Of Wayne County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9851 Hamilton Ave, Detroit, MI 48202 Phone: 313-883-2339 Fax: 313-883-3957 | |
Emanuel T. Vanbolden, Phd, Lp, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Farnsworth St, Detroit, MI 48202 Phone: 313-577-2840 Fax: 313-577-8949 | |
Mindful Synergy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3011 W Grand Blvd Ste 1507, Detroit, MI 48202 Phone: 313-608-9512 Fax: 313-462-4829 | |
Embody Her Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Washington Blvd Ste 301, Detroit, MI 48226 Phone: 248-259-2562 | |
Ascension St John Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 586-753-0011 |