| Radzilowski Counseling Llc | |
|
19641 Silver Spring St Southfield MI 48076-5060 | |
| (313) 405-9717 | |
| Not Available |
| Full Name | Radzilowski Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 19641 Silver Spring St, Southfield, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radzilowski Counseling Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Radzilowski Counseling Llc 19641 Silver Spring St Southfield MI 48076-5060 Ph: (313) 405-9717 |
| NPI Number | 1851872238 |
|---|---|
| Provider Enumeration Date | 08/24/2018 |
| Last Update Date | 06/17/2021 |
| Certification Date | 06/17/2021 |
| Medicare PECOS PAC ID | 1850637687 |
|---|---|
| Medicare Enrollment ID | O20190115002036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851872238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | 6801019864 (Michigan) | Secondary |
| Provider Name | Susan F Radzilowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023310828 PECOS PAC ID: 8921344755 Enrollment ID: I20190115002195 |
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