Mr Frank Jacques Van Goethem, MA, LLP, LMSW | |
400 Johnson St, Alpena, MI 49707 | |
(989) 356-2161 | |
Not Available |
Full Name | Mr Frank Jacques Van Goethem |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 400 Johnson St, Alpena, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841632361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301007535 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801067854 (Michigan) | Primary |
Entity Name | Northeast Michigan Community Mental Health Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144378381 PECOS PAC ID: 2264498005 Enrollment ID: O20041203000522 |
Mailing Address | Practice Location Address |
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Mr Frank Jacques Van Goethem, MA, LLP, LMSW 400 Johnson St, Alpena, MI 49707-1434 Ph: (989) 356-2161 | Mr Frank Jacques Van Goethem, MA, LLP, LMSW 400 Johnson St, Alpena, MI 49707 Ph: (989) 356-2161 |
Patty Dichtel, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 318 W Fletcher St, Alpena, MI 49707 Phone: 989-884-1165 | |
Gary L Knudson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7390 Fax: 989-356-8013 | |
Amy J Fitzpatrick, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 N State Ave, Alpena, MI 49707 Phone: 989-497-2500 | |
Mikayla Elizabeth Paquette, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Johnson St, Alpena, MI 49707 Phone: 989-358-7789 | |
Patrick Mullen, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Johnson St, Alpena, MI 49707 Phone: 989-356-2161 Fax: 989-354-5898 | |
Vincent J Call, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 S 1st Ave, Alpena, MI 49707 Phone: 989-358-9393 | |
Renee Luise Diener, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 150 S Ripley Blvd, Alpena, MI 49707 Phone: 989-884-0066 |