| Patricia J. Edwards, Lmsw/acsw, P.c. | |
|
225 E Exchange St Spring Lake MI 49456-2020 | |
| (888) 284-5129 | |
| Not Available |
| Full Name | Patricia J. Edwards, Lmsw/acsw, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 225 E Exchange St, Spring Lake, Michigan |
| Authorized Official Name and Position | Patricia Janice Edwards (PRESIDENT) |
| Authorized Official Contact | 6168424820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia J. Edwards, Lmsw/acsw, P.c. 1620 Waverly Ave Grand Haven MI 49417-2353 Ph: (888) 284-5129 | Patricia J. Edwards, Lmsw/acsw, P.c. 225 E Exchange St Spring Lake MI 49456-2020 Ph: (888) 284-5129 |
| NPI Number | 1376721688 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 03/03/2008 |
| Medicare PECOS PAC ID | 6103992938 |
|---|---|
| Medicare Enrollment ID | O20080902000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376721688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801033310 (Michigan) | Primary |
| Provider Name | Patricia J Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851402978 PECOS PAC ID: 1658331921 Enrollment ID: I20071018000078 |
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