| Rebecca Congdon Sole Mbr | |
|
37875 W 12 Mile Rd Ste 201 Farmington Hills MI 48331-3037 | |
| (248) 881-3457 | |
| Not Available |
| Full Name | Rebecca Congdon Sole Mbr |
|---|---|
| Speciality | Social Worker |
| Location | 37875 W 12 Mile Rd Ste 201, Farmington Hills, Michigan |
| Authorized Official Name and Position | Rebecca A Congdon (LICENSED SOCIAL WORKER) |
| Authorized Official Contact | 2488813457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Congdon Sole Mbr 37875 W 12 Mile Rd Ste 201 Farmington Hills MI 48331-3037 Ph: (248) 881-3457 | Rebecca Congdon Sole Mbr 37875 W 12 Mile Rd Ste 201 Farmington Hills MI 48331-3037 Ph: (248) 881-3457 |
| NPI Number | 1285296616 |
|---|---|
| Provider Enumeration Date | 07/06/2019 |
| Last Update Date | 10/26/2021 |
| Certification Date | 10/26/2021 |
| Medicare PECOS PAC ID | 6204165418 |
|---|---|
| Medicare Enrollment ID | O20190913001523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285296616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rebecca Ann Congdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063664118 PECOS PAC ID: 4981930096 Enrollment ID: I20190727000218 |
| Provider Name | Hannah Burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699359364 PECOS PAC ID: 6709289846 Enrollment ID: I20210727000951 |
| Provider Name | Cindy Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043935711 PECOS PAC ID: 8325418353 Enrollment ID: I20230106002487 |
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