| Alyssa Joy Penley, | |
|
328 E Main St, Spring Arbor, MI 49283-9617 | |
| (248) 924-5438 | |
| Not Available |
| Full Name | Alyssa Joy Penley |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 328 E Main St, Spring Arbor, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336896521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6851105706 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Flourish Center For Cultivating Human Potential | 2860776150 | 4 |
| Entity Name | Flourish Center For Cultivating Human Potential |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669920344 PECOS PAC ID: 2860776150 Enrollment ID: O20170306001182 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Joy Penley, 7780 Kookaburra Ct Apt 408, Dexter, MI 48130-1582 Ph: () - | Alyssa Joy Penley, 328 E Main St, Spring Arbor, MI 49283-9617 Ph: (248) 924-5438 |
Raelynn Burger, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 328 E Main St, Spring Arbor, MI 49283 Phone: 517-930-5479 | |
Matthew Winner, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3522 2nd Ave Apt 5, Spring Arbor, MI 49283 Phone: 419-980-1452 | |
Bethany Kay Patton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6692 Spring Arbor Road, Spring Arbor, MI 49283 Phone: 517-914-1758 |