| Anthony Scott Theel, | |
|
30000 Hiveley St, Inkster, MI 48141-1089 | |
| (734) 728-3400 | |
| Not Available |
| Full Name | Anthony Scott Theel |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 30000 Hiveley St, Inkster, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003225079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | St Clair County Community Mental Health Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689783672 PECOS PAC ID: 7416861984 Enrollment ID: O20031118000783 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Scott Theel, 30000 Hiveley St, Inkster, MI 48141-1089 Ph: () - | Anthony Scott Theel, 30000 Hiveley St, Inkster, MI 48141-1089 Ph: (734) 728-3400 |
Mrs. Jung M Nichols, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 Hamlin Dr, Inkster, MI 48141 Phone: 734-941-4991 Fax: 734-941-4919 | |
Lacey Christine Rubin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30000 Hiveley St, Inkster, MI 48141 Phone: 734-713-9271 | |
Emily Thiel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30000 Hiveley St, Inkster, MI 48141 Phone: 248-921-2609 | |
Melissa Stellini, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25912 Annapolis St, Inkster, MI 48141 Phone: 313-565-2174 | |
Mrs. Kristina D. Figaro, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Hamlin Blvd, Inkster, MI 48141 Phone: 734-713-9500 | |
Lillian June Greenwood, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30000 Hiveley St, Inkster, MI 48141 Phone: 734-728-3400 |