| Kammy Willems, Lcsw, Llc. | |
|
6280 E Pima St Ste 110 Tucson AZ 85712-3074 | |
| (520) 250-6632 | |
| Not Available |
| Full Name | Kammy Willems, Lcsw, Llc. |
|---|---|
| Speciality | Social Worker |
| Location | 6280 E Pima St Ste 110, Tucson, Arizona |
| Authorized Official Name and Position | Kammy M Willems (PRESIDENT) |
| Authorized Official Contact | 5202506632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kammy Willems, Lcsw, Llc. 8987 E Tanque Verde Rd Ste 309-459 Tucson AZ 85749-9610 Ph: (520) 250-6632 | Kammy Willems, Lcsw, Llc. 6280 E Pima St Ste 110 Tucson AZ 85712-3074 Ph: (520) 250-6632 |
| NPI Number | 1518597673 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 01/16/2020 |
| Certification Date | 01/16/2020 |
| Medicare PECOS PAC ID | 5193152668 |
|---|---|
| Medicare Enrollment ID | O20200221001507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518597673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kammy M Willems |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194185264 PECOS PAC ID: 3577862564 Enrollment ID: I20160426000399 |
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