Joyce M. Mckenna Lmsw, Acsw, Pllc | |
5000 Northwind Dr Suite 222 East Lansing MI 48823-5044 | |
(517) 324-5426 | |
(517) 324-5426 |
Full Name | Joyce M. Mckenna Lmsw, Acsw, Pllc |
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Speciality | Social Worker |
Location | 5000 Northwind Dr, East Lansing, Michigan |
Authorized Official Name and Position | Joyce M. Mckenna (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 5173245426 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Joyce M. Mckenna Lmsw, Acsw, Pllc 5000 Northwind Dr Suite 222 East Lansing MI 48823-5044 Ph: (517) 324-5426 | Joyce M. Mckenna Lmsw, Acsw, Pllc 5000 Northwind Dr Suite 222 East Lansing MI 48823-5044 Ph: (517) 324-5426 |
NPI Number | 1669641148 |
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Provider Enumeration Date | 02/28/2008 |
Last Update Date | 01/04/2016 |
Medicare PECOS PAC ID | 4789763863 |
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Medicare Enrollment ID | O20080430000409 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669641148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801064405 (Michigan) | Primary |
Provider Name | Joyce M Mckenna |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063565091 PECOS PAC ID: 2567432958 Enrollment ID: I20040731000340 |
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