| Kimberly Brogan Smith, MSW | |
|
12850 Fountain Sq, Ste. 106, Davisburg, MI 48350-2552 | |
| (248) 634-6303 | |
| (248) 634-1746 |
| Full Name | Kimberly Brogan Smith |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 12850 Fountain Sq, Davisburg, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114930690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801081346 (Michigan) | Primary |
| Entity Name | County Of Macomb |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942532197 PECOS PAC ID: 4880581404 Enrollment ID: O20040308000888 |
| Entity Name | Ismail B Sendi Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609882067 PECOS PAC ID: 4688674534 Enrollment ID: O20061228000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Brogan Smith, MSW 12850 Fountain Sq, Ste. 106, Davisburg, MI 48350-2552 Ph: (248) 634-6303 | Kimberly Brogan Smith, MSW 12850 Fountain Sq, Ste. 106, Davisburg, MI 48350-2552 Ph: (248) 634-6303 |
Dana Marie Decapite, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12850 Fountain Sq, Davisburg, MI 48350 Phone: 248-634-6303 Fax: 248-634-1746 | |
Susan Rohde, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12850 Fountain Sq, Ste. 106, Davisburg, MI 48350 Phone: 248-634-6303 Fax: 248-634-1746 | |
Mr. David Mark Klein, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12850 Fountain Sq, Ste. 106, Davisburg, MI 48350 Phone: 248-634-6303 Fax: 248-634-1746 | |
Robert Melville Hermanson, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12850 Fountain Sq, Ste. 106, Davisburg, MI 48350 Phone: 248-634-6303 Fax: 248-634-1746 | |
Mrs. Linda Michelle Sherman, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12850 Fountain Sq, Ste. 106, Davisburg, MI 48350 Phone: 248-634-6303 Fax: 248-634-1746 | |
Miss Robin Tiffany Sharabani, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12850 Fountain Sq, Ste. 106, Davisburg, MI 48350 Phone: 248-634-6303 Fax: 248-634-1746 |