| Samaritas Lutheran Social Services Of Michigan | |
|
128 S Cochran Ave Charlotte MI 48813-1510 | |
| (517) 325-9090 | |
| (517) 325-9091 |
| Full Name | Samaritas Lutheran Social Services Of Michigan |
|---|---|
| Speciality | Counselor |
| Location | 128 S Cochran Ave, Charlotte, Michigan |
| Authorized Official Name and Position | Jenny Cederstrom (CFO) |
| Authorized Official Contact | 3133082764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritas Lutheran Social Services Of Michigan 8131 E Jefferson Ave Detroit MI 48214-2610 Ph: (269) 345-5776 | Samaritas Lutheran Social Services Of Michigan 128 S Cochran Ave Charlotte MI 48813-1510 Ph: (517) 325-9090 |
| NPI Number | 1972860005 |
|---|---|
| Provider Enumeration Date | 04/13/2012 |
| Last Update Date | 03/01/2021 |
| Certification Date | 03/01/2021 |
| Medicare PECOS PAC ID | 6305992421 |
|---|---|
| Medicare Enrollment ID | O20210324001690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972860005 | NPI | - | NPPES |
| Provider Name | Elizabeth M Kozlowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104804285 PECOS PAC ID: 9931132305 Enrollment ID: I20050915000724 |
| Provider Name | Charity Gorbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396141347 PECOS PAC ID: 5193078723 Enrollment ID: I20181030000825 |
| Provider Name | Ellyn Schwickrath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649790643 PECOS PAC ID: 8820403868 Enrollment ID: I20210224001996 |
| Provider Name | Kelsey Devries |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326538133 PECOS PAC ID: 3476957697 Enrollment ID: I20210811000323 |
| Provider Name | Sarah Elizabeth Conway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720740384 PECOS PAC ID: 6507232998 Enrollment ID: I20221027000224 |
| Provider Name | Serena Sue Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376985416 PECOS PAC ID: 5698128387 Enrollment ID: I20240130000682 |
| Provider Name | Anthony Muller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013130723 PECOS PAC ID: 5496191934 Enrollment ID: I20240307000344 |
| Provider Name | Rodney Crainer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750740114 PECOS PAC ID: 1759727845 Enrollment ID: I20240312000808 |
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