| Step Forward | |
|
41800 Hayes Rd Ste 206 Clinton Twp MI 48038-1876 | |
| (586) 718-4714 | |
| Not Available |
| Full Name | Step Forward |
|---|---|
| Speciality | Social Worker |
| Location | 41800 Hayes Rd Ste 206, Clinton Twp, Michigan |
| Authorized Official Name and Position | Suzanne Marie Johnson (THERAPIST) |
| Authorized Official Contact | 5867184714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Step Forward 41800 Hayes Rd Ste 206 Clinton Twp MI 48038-1876 Ph: (586) 718-4714 | Step Forward 41800 Hayes Rd Ste 206 Clinton Twp MI 48038-1876 Ph: (586) 718-4714 |
| NPI Number | 1174951693 |
|---|---|
| Provider Enumeration Date | 10/18/2013 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 5890016786 |
|---|---|
| Medicare Enrollment ID | O20150603002757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174951693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801032874 (Michigan) | Primary |
| Provider Name | Suzanne M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992972046 PECOS PAC ID: 5698845394 Enrollment ID: I20080606000727 |
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