| Micheline Sommers, Llc | |
|
945 S Rochester Rd Rochester Hills MI 48307-2762 | |
| (248) 434-8227 | |
| (248) 841-4714 |
| Full Name | Micheline Sommers, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 945 S Rochester Rd, Rochester Hills, Michigan |
| Authorized Official Name and Position | Micheline Sommers (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2486528528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Micheline Sommers, Llc 1147 Grandview Dr Rochester Hills MI 48306-4031 Ph: (248) 652-8528 | Micheline Sommers, Llc 945 S Rochester Rd Rochester Hills MI 48307-2762 Ph: (248) 434-8227 |
| NPI Number | 1922463223 |
|---|---|
| Provider Enumeration Date | 12/31/2015 |
| Last Update Date | 12/31/2015 |
| Medicare PECOS PAC ID | 8123321403 |
|---|---|
| Medicare Enrollment ID | O20160120001181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922463223 | NPI | - | NPPES |
| 11821930 | Other | CAQH | |
| 1326185109 | Other | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801033725 (Michigan) | Primary |
| Provider Name | Micheline M Sommers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326185109 PECOS PAC ID: 0749353001 Enrollment ID: I20080718000583 |
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