| Carol L Mast, MSW, CSW | |
|
71 Bevier St, Shelby, MI 49455-1209 | |
| (231) 861-2187 | |
| (231) 861-5100 |
| Full Name | Carol L Mast |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 71 Bevier St, Shelby, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659324978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801071977 (Michigan) | Primary |
| Entity Name | Mercy Health Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154910172 PECOS PAC ID: 1456430016 Enrollment ID: O20140415001839 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol L Mast, MSW, CSW 71 Bevier St, Shelby, MI 49455-1209 Ph: (231) 861-2187 | Carol L Mast, MSW, CSW 71 Bevier St, Shelby, MI 49455-1209 Ph: (231) 861-2187 |
Dr. Derik Vanbaale, PHD, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 E 6th St, Shelby, MI 49455 Phone: 616-450-2284 | |
Rosa Jazmin Avilez-martinez, LMSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 N State St, Shelby, MI 49455 Phone: 231-902-8550 | |
Mrs. Jennifer Leigh James-witteveen, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2838 S 56th Ave, Shelby, MI 49455 Phone: 331-742-1208 |