| Karen Webb Acsw Pc | |
|
18090 Mack Ave Suite B Grosse Pointe MI 48230-6251 | |
| (313) 642-1997 | |
| (313) 642-1998 |
| Full Name | Karen Webb Acsw Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 18090 Mack Ave, Grosse Pointe, Michigan |
| Authorized Official Name and Position | Karen Lee Webb (PRESIDENT) |
| Authorized Official Contact | 3136421997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Webb Acsw Pc 18090 Mack Ave Suite B Grosse Pointe MI 48230-6251 Ph: (313) 642-1997 | Karen Webb Acsw Pc 18090 Mack Ave Suite B Grosse Pointe MI 48230-6251 Ph: (313) 642-1997 |
| NPI Number | 1083924054 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 10/08/2010 |
| Medicare PECOS PAC ID | 6204023195 |
|---|---|
| Medicare Enrollment ID | O20101203000935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083924054 | NPI | - | NPPES |
| 8008915260 | Other | MI | BLUE CROSS/BLUE SHIELD OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801046577 (Michigan) | Primary |
| Provider Name | Karen L Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972500502 PECOS PAC ID: 5193912087 Enrollment ID: I20101203000962 |
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