| Maxwell Newman Smith Psychotherapy | |
|
211 W Upright St Charlevoix MI 49720-1348 | |
| (248) 224-8543 | |
| Not Available |
| Full Name | Maxwell Newman Smith Psychotherapy |
|---|---|
| Speciality | Social Worker |
| Location | 211 W Upright St, Charlevoix, Michigan |
| Authorized Official Name and Position | Maxwell Smith (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2482248543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxwell Newman Smith Psychotherapy 211 W Upright St Charlevoix MI 49720-1348 Ph: () - | Maxwell Newman Smith Psychotherapy 211 W Upright St Charlevoix MI 49720-1348 Ph: (248) 224-8543 |
| NPI Number | 1912644113 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 08/16/2022 |
| Certification Date | 08/16/2022 |
| Medicare PECOS PAC ID | 3375916976 |
|---|---|
| Medicare Enrollment ID | O20230301002651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912644113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maxwell Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023503257 PECOS PAC ID: 0042628976 Enrollment ID: I20210414001320 |
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