| Linda Rose Clor Csw Pc | |
|
42657 Garfield Rd Ste 213 Clinton Twp MI 48038 | |
| (586) 228-8838 | |
| (586) 228-0813 |
| Full Name | Linda Rose Clor Csw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 42657 Garfield Rd, Clinton Twp, Michigan |
| Authorized Official Name and Position | Linda Rose Clor (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5862288838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Rose Clor Csw Pc 42657 Garfield Rd Ste 213 Clinton Twp MI 48044 Ph: (586) 228-8838 | Linda Rose Clor Csw Pc 42657 Garfield Rd Ste 213 Clinton Twp MI 48038 Ph: (586) 228-8838 |
| NPI Number | 1114039856 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 05/13/2015 |
| Medicare PECOS PAC ID | 9638239494 |
|---|---|
| Medicare Enrollment ID | O20081124000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114039856 | NPI | - | NPPES |
| 8008981730 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 6801035885 (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | 4101005701 (* (Not Available)) | Secondary |
| Provider Name | Linda Rose Clor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164682795 PECOS PAC ID: 7911067772 Enrollment ID: I20081124000425 |
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