| William C Padding, Lmsw, Acsw, Pc | |
|
640 3 Mile Rd Nw Suite 101 Grand Rapids MI 49544-8209 | |
| (616) 785-8900 | |
| (616) 785-8900 |
| Full Name | William C Padding, Lmsw, Acsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 640 3 Mile Rd Nw, Grand Rapids, Michigan |
| Authorized Official Name and Position | William C Padding (PRESIDENT) |
| Authorized Official Contact | 6167858900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William C Padding, Lmsw, Acsw, Pc 640 3 Mile Rd Nw Suite 101 Grand Rapids MI 49544-8209 Ph: (616) 785-8900 | William C Padding, Lmsw, Acsw, Pc 640 3 Mile Rd Nw Suite 101 Grand Rapids MI 49544-8209 Ph: (616) 785-8900 |
| NPI Number | 1396081253 |
|---|---|
| Provider Enumeration Date | 12/21/2012 |
| Last Update Date | 12/21/2012 |
| Medicare PECOS PAC ID | 2163676180 |
|---|---|
| Medicare Enrollment ID | O20130129000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396081253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801063266 (Michigan) | Primary |
| Provider Name | William C Padding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518971795 PECOS PAC ID: 9638148240 Enrollment ID: I20040930000385 |
| Provider Name | Simina Bono |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871719351 PECOS PAC ID: 1153555388 Enrollment ID: I20131001000635 |
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