| Michelle Ganss, Lmsw, Llc | |
|
50 Filer St Suite 210f Manistee MI 49660-2726 | |
| (231) 299-7507 | |
| Not Available |
| Full Name | Michelle Ganss, Lmsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 50 Filer St, Manistee, Michigan |
| Authorized Official Name and Position | Michelle Renee Ganss (OWNER) |
| Authorized Official Contact | 2312997507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Ganss, Lmsw, Llc 1519 Lakeshore Rd Manistee MI 49660-1038 Ph: (231) 233-9563 | Michelle Ganss, Lmsw, Llc 50 Filer St Suite 210f Manistee MI 49660-2726 Ph: (231) 299-7507 |
| NPI Number | 1396278925 |
|---|---|
| Provider Enumeration Date | 04/11/2017 |
| Last Update Date | 04/11/2017 |
| Medicare PECOS PAC ID | 4789954306 |
|---|---|
| Medicare Enrollment ID | O20170714000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396278925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801090644 (Michigan) | Primary |
| Provider Name | Michelle R Ganss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407393226 PECOS PAC ID: 0941570519 Enrollment ID: I20170817003163 |
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