| Inner Justice Works Pllc | |
|
2990 Field St Detroit MI 48214-1757 | |
| (313) 731-2453 | |
| Not Available |
| Full Name | Inner Justice Works Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2990 Field St, Detroit, Michigan |
| Authorized Official Name and Position | Lance Hicks (SOCIAL WORKER) |
| Authorized Official Contact | 3137312453 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Justice Works Pllc 2990 Field St Detroit MI 48214-1757 Ph: (313) 731-2453 | Inner Justice Works Pllc 2990 Field St Detroit MI 48214-1757 Ph: (313) 731-2453 |
| NPI Number | 1861063760 |
|---|---|
| Provider Enumeration Date | 07/02/2021 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/26/2024 |
| Medicare PECOS PAC ID | 0244632321 |
|---|---|
| Medicare Enrollment ID | O20210712003807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861063760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Lance Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518442425 PECOS PAC ID: 1153723234 Enrollment ID: I20210712003883 |
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