Tracy Wickland, LMSW | |
3001 4th St, Wayne, MI 48184-1358 | |
(734) 419-2200 | |
(734) 272-4158 |
Full Name | Tracy Wickland |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3001 4th St, Wayne, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205247335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801094921 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689732414 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000509 |
Mailing Address | Practice Location Address |
---|---|
Tracy Wickland, LMSW 1 Ford Pl, Detroit, MI 48202-3450 Ph: (313) 874-6677 | Tracy Wickland, LMSW 3001 4th St, Wayne, MI 48184-1358 Ph: (734) 419-2200 |
Brittney Bach, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34841 Veterans Plz, Wayne, MI 48184 Phone: 734-600-7873 | |
Ms. Joanne Nicholson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35425 W Michigan Ave, Wayne, MI 48184 Phone: 734-467-7600 Fax: 734-467-7600 | |
Erin Searles, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35540 W Michigan Ave, Wayne, MI 48184 Phone: 248-213-7461 Fax: 248-286-6114 | |
Ms. Jasmine Close, LLMSW-CLINICAL Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34841 Veterans Plz, Wayne, MI 48184 Phone: 313-292-7640 Fax: 313-292-9270 | |
Erin Gonzalez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35425 Michigan Ave W., Wayne, MI 48184 Phone: 248-547-2668 | |
Ms. Nancy L Mcclure, M.A.,LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 33101 Annapolis St, Wayne, MI 48184 Phone: 734-721-0200 |