| Elizabeth Mary Davis-pennington, LMSW-CLINICAL | |
|
808 W Lake Lansing Rd Ste 200, East Lansing, MI 48823-6322 | |
| (151) 770-5320 | |
| Not Available |
| Full Name | Elizabeth Mary Davis-pennington |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 808 W Lake Lansing Rd Ste 200, East 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 |
|---|---|---|---|
| 1013503713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801106015 (Michigan) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2-01402 (Michigan) | Secondary |
| Entity Name | Pats Psychological Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780287128 PECOS PAC ID: 8123431814 Enrollment ID: O20210120000871 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Mary Davis-pennington, LMSW-CLINICAL 808 W Lake Lansing Rd Ste 200, East Lansing, MI 48823-6322 Ph: (517) 705-3202 | Elizabeth Mary Davis-pennington, LMSW-CLINICAL 808 W Lake Lansing Rd Ste 200, East Lansing, MI 48823-6322 Ph: (151) 770-5320 |
Krystal R Davis-dunn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 Abbot Rd Ste 103e, East Lansing, MI 48823 Phone: 517-574-4797 Fax: 517-484-1771 | |
Mr. Peter Culross Wood, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4572 S. Hagadorn Rd, Ste. 2b, East Lansing, MI 48823 Phone: 517-881-6845 | |
Ms. Gina Marie Snoeyink, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 W Lake Lansing Rd Ste 100, East Lansing, MI 48823 Phone: 517-618-9653 Fax: 517-252-2689 | |
Mrs. Stephanie A Stanley, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1422 W Saginaw St, East Lansing, MI 48823 Phone: 517-362-9495 | |
Stephanie Erin Wagner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 W Lake Lansing Rd Ste 200, East Lansing, MI 48823 Phone: 517-416-1790 | |
Mrs. Letisha Mechell Holloway, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5031 Park Lake Rd, East Lansing, MI 48823 Phone: 517-332-0811 Fax: 517-332-4452 |