| Chandal Blackman, | |
|
812 E Jolly Rd Ste 110, Lansing, MI 48910-6820 | |
| (517) 346-8318 | |
| (517) 237-7270 |
| Full Name | Chandal Blackman |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 812 E Jolly Rd Ste 110, Lansing, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083391593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6851117887 (Michigan) | Primary |
| Entity Name | Pure Psychiatry Of Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831701671 PECOS PAC ID: 1254741283 Enrollment ID: O20201103002311 |
| Mailing Address | Practice Location Address |
|---|---|
| Chandal Blackman, 812 E Jolly Rd Ste 210, Lansing, MI 48910-6821 Ph: (517) 237-7350 | Chandal Blackman, 812 E Jolly Rd Ste 110, Lansing, MI 48910-6820 Ph: (517) 346-8318 |
Heather Joy Spotts, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1710-1712 E. Michigan Ave, Lansing, MI 48848 Phone: 517-372-9163 Fax: 517-372-7981 | |
David A Enterline, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 812 E Jolly Rd, G-14, Lansing, MI 48910 Phone: 517-346-8409 Fax: 517-346-8290 | |
Maddison Mahar, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 812 E Jolly Rd Ste 210, Lansing, MI 48910 Phone: 517-346-8200 Fax: 517-346-8291 | |
Joel Zeman, MSW,ACSW,LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 S Creyts Rd, Lansing, MI 48917 Phone: 517-323-4099 | |
Jennifer Robin Bell, MSW, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3815 W Saint Joseph St Ste A300, Lansing, MI 48917 Phone: 517-489-1468 | |
Peter Hochstedler, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 307 S 8th St, Lansing, MI 48912 Phone: 917-929-0940 | |
Ericka K Barber, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1518 W. Willow St, Lansing, MI 48915 Phone: 517-939-9270 Fax: 877-794-7416 |