Elizabeth T Wylde, | |
13 N Washington St, Ypsilanti, MI 48197-2617 | |
(734) 325-9531 | |
Not Available |
Full Name | Elizabeth T Wylde |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 13 N Washington St, Ypsilanti, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538752159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801109058 (Michigan) | Primary |
Entity Name | Affirming Pathways Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316723513 PECOS PAC ID: 1153764642 Enrollment ID: O20240212003802 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth T Wylde, 801 W Big Beaver Rd Ste 300, Troy, MI 48084-4725 Ph: (734) 325-9531 | Elizabeth T Wylde, 13 N Washington St, Ypsilanti, MI 48197-2617 Ph: (734) 325-9531 |
Vitalis Im, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3150 Packard Rd, Ypsilanti, MI 48197 Phone: 248-581-8777 | |
Caitlin Corrine Newman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6633 Stony Creek Rd, Ypsilanti, MI 48197 Phone: 734-485-8725 | |
Jason Francis Schwartz, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6633 Stony Creek Rd, Ypsilanti, MI 48197 Phone: 734-485-8725 | |
Jasmin Ashakih, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2488 Golfside Rd, Ypsilanti, MI 48197 Phone: 734-709-6205 | |
Kia Sweeney, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1740 Cliffs Lndg Apt 202, Ypsilanti, MI 48198 Phone: 313-485-8397 | |
Mrs. Rosalind Mackraz Dieterich, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2900 Packard Rd, Suite 1, Ypsilanti, MI 48197 Phone: 734-528-9703 Fax: 734-572-8866 | |
Matthew Hiller, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 122 S Hamilton St, Ypsilanti, MI 48197 Phone: 615-715-2904 |