Nowak Counseling, Llc | |
110 Sanborn Ave Suite A Big Rapids MI 49307-8740 | |
(616) 202-1506 | |
Not Available |
Full Name | Nowak Counseling, Llc |
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Speciality | Social Worker |
Location | 110 Sanborn Ave Suite A, Big Rapids, Michigan |
Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nowak Counseling, Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Nowak Counseling, Llc 110 Sanborn Ave Suite A Big Rapids MI 49307-8740 Ph: (616) 202-1506 |
NPI Number | 1275197931 |
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Provider Enumeration Date | 04/29/2019 |
Last Update Date | 05/23/2024 |
Certification Date | 05/23/2024 |
Medicare PECOS PAC ID | 0244566008 |
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Medicare Enrollment ID | O20190731003268 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275197931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Provider Name | Anne Catherine Nowak |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245644962 PECOS PAC ID: 6103107982 Enrollment ID: I20170110002571 |
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