<unavail> in Taylor, MI - Medicare Social Worker

is a medicare enrolled mental health clinic (Social Worker - Clinical) in Taylor, Michigan. The current practice location for is 20300 Superior, Suite 160, Taylor, Michigan. For appointments, you can reach them via phone at (888) 622-3345. The mailing address for is 20300 Superior, Suite 160, Taylor, Michigan and phone number is (888) 622-3345.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1720434426. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (888) 622-3345.

Contact Information


	20300 Superior Suite 160 Taylor MI 48180-6341
	(888) 622-3345
	(586) 436-3596

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Social Worker
Location	20300 Superior, Taylor, Michigan
Authorized Official Name and Position	Thomas John Krolicki (FORMER EXECUTIVE DIRECTOR PREVIOUS)
Authorized Official Contact	3138064873
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
20300 Superior Suite 160 Taylor MI 48180-6341 Ph: (888) 622-3345	20300 Superior Suite 160 Taylor MI 48180-6341 Ph: (888) 622-3345

NPI Details:

NPI Number	1720434426
Provider Enumeration Date	05/11/2016
Last Update Date	01/24/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	4385928597
Medicare Enrollment ID	O20170308001004

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720434426	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801067478 (Michigan)	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Zachary Paul Wollack
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1710490271 PECOS PAC ID: 9537427174 Enrollment ID: I20180103000883

Reviews and Comments

Social Worker in Taylor, MI

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- Medicare Mental Health Clinic in Taylor, MI