| Kathleen A Becker Lmsw Llc | |
|
650 E Big Beaver Rd Ste B Troy MI 48083-1432 | |
| (248) 770-2285 | |
| Not Available |
| Full Name | Kathleen A Becker Lmsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 650 E Big Beaver Rd Ste B, Troy, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen A Becker Lmsw Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Kathleen A Becker Lmsw Llc 650 E Big Beaver Rd Ste B Troy MI 48083-1432 Ph: (248) 770-2285 |
| NPI Number | 1205499100 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/13/2023 |
| Medicare PECOS PAC ID | 1951635127 |
|---|---|
| Medicare Enrollment ID | O20190620003356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205499100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Kathleen A Becker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386838274 PECOS PAC ID: 6305907544 Enrollment ID: I20081206000211 |
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