| Ivy Ting Pickell, LMSW | |
|
1 Heritage Dr Ste 520, Southgate, MI 48195-3051 | |
| (734) 215-9800 | |
| Not Available |
| Full Name | Ivy Ting Pickell |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 1 Heritage Dr Ste 520, Southgate, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548920440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801118246 (Michigan) | Secondary |
| 104100000X | Social Worker | 6801118246 (Michigan) | Primary |
| Entity Name | Richard Kneip Phd Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20080731000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Ting Pickell, LMSW 15490 Susan St, Southgate, MI 48195-2917 Ph: () - | Ivy Ting Pickell, LMSW 1 Heritage Dr Ste 520, Southgate, MI 48195-3051 Ph: (734) 215-9800 |
Shannon Baynai, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 | |
Mr. Kenneth Love Ii, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14799 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-324-8326 Fax: 734-324-8327 | |
David Copeland, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13305 Reeck Ct, Southgate, MI 48195 Phone: 734-225-2090 | |
Zahraa Saab, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14799 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-324-8326 Fax: 734-324-8327 | |
Mr. James Gerard Livingston, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Suite 400, Southgate, MI 48195 Phone: 734-785-7705 Fax: 734-785-7734 | |
Vickie Lynn Novell, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 | |
Claudette Jefferson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7705 |