| Lighthouse Associates Llc | |
|
5705 W Johnson Rd Ludington MI 49431-1516 | |
| (231) 425-4414 | |
| (231) 425-4434 |
| Full Name | Lighthouse Associates Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5705 W Johnson Rd, Ludington, Michigan |
| Authorized Official Name and Position | Lisa A Bradley (PRESIDENT) |
| Authorized Official Contact | 2314254414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Associates Llc 5705 W Johnson Rd Ludington MI 49431-1516 Ph: (231) 425-4414 | Lighthouse Associates Llc 5705 W Johnson Rd Ludington MI 49431-1516 Ph: (231) 425-4414 |
| NPI Number | 1053759589 |
|---|---|
| Provider Enumeration Date | 06/06/2013 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Medicare PECOS PAC ID | 0547403867 |
|---|---|
| Medicare Enrollment ID | O20130905000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053759589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LB064630 (Michigan) | Primary |
| Provider Name | Lisa A Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154310720 PECOS PAC ID: 4385612837 Enrollment ID: I20040922000452 |
| Provider Name | Kathryn A Cain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730178534 PECOS PAC ID: 9739157298 Enrollment ID: I20040922000468 |
| Provider Name | Paula Kathleen Wietrzykowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912959479 PECOS PAC ID: 9537127535 Enrollment ID: I20041222000171 |
| Provider Name | Patricia A Murphy Ruhlig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063834679 PECOS PAC ID: 3375774300 Enrollment ID: I20140314001820 |
| Provider Name | Trudie M Brandt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578985966 PECOS PAC ID: 6800027996 Enrollment ID: I20140403000861 |
| Provider Name | Devin A Gill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609143569 PECOS PAC ID: 6709191281 Enrollment ID: I20150812007980 |
| Provider Name | Alicia M Kaja |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114458668 PECOS PAC ID: 3072922426 Enrollment ID: I20210514001260 |
| Provider Name | Amy L Billings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811440043 PECOS PAC ID: 0042617672 Enrollment ID: I20210924001717 |
| Provider Name | Heidi L Goehmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346692084 PECOS PAC ID: 1456749142 Enrollment ID: I20211029000926 |
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