Miechon Jordan, | |
1000 W Cedar St, Standish, MI 48658-9421 | |
(989) 846-4573 | |
Not Available |
Full Name | Miechon Jordan |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1000 W Cedar St, Standish, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215332671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6802087782 (Michigan) | Primary |
Entity Name | Bay-arenac Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154439438 PECOS PAC ID: 5496706228 Enrollment ID: O20050209000187 |
Mailing Address | Practice Location Address |
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Miechon Jordan, 1000 W Cedar St, Standish, MI 48658-9421 Ph: () - | Miechon Jordan, 1000 W Cedar St, Standish, MI 48658-9421 Ph: (989) 846-4573 |
Stacey Koin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 W Cedar St, Standish, MI 48658 Phone: 989-846-4573 | |
Ms. Marlene M Wolber, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 W Cedar St, Standish, MI 48658 Phone: 989-846-4573 | |
Margaret Worthington, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 W Cedar St, Standish, MI 48658 Phone: 989-846-4573 | |
Brenda Kay Rousse, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 W Cedar St, Standish, MI 48658 Phone: 989-846-4573 | |
Marcia Olson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 W Cedar St, Standish, MI 48658 Phone: 989-895-2300 | |
Casey Lupo, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 W Cedar St, Standish, MI 48658 Phone: 989-895-2300 |