| Lisa M Rae, MSW | |
|
1100 Torrey Rd Ste 100, Fenton, MI 48430-3327 | |
| (810) 494-7180 | |
| (248) 692-4936 |
| Full Name | Lisa M Rae |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1100 Torrey Rd Ste 100, Fenton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053980326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801104320 (Michigan) | Primary |
| Entity Name | Downriver Mental Health Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533 |
| Entity Name | Kindmind Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730897711 PECOS PAC ID: 3476922006 Enrollment ID: O20221202002772 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Rae, MSW 1100 Torrey Rd Ste 100, Fenton, MI 48430-3327 Ph: (810) 494-7180 | Lisa M Rae, MSW 1100 Torrey Rd Ste 100, Fenton, MI 48430-3327 Ph: (810) 494-7180 |
Jane Elaine Kimball, LBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 129 N River St, Fenton, MI 48430 Phone: 810-629-0760 Fax: 810-616-6268 | |
Mrs. Adrianna Marie Glasgow, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15173 North Rd, Fenton, MI 48430 Phone: 810-771-4074 | |
Rachel Ann Corcoran, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15173 North Rd Ste 100, Fenton, MI 48430 Phone: 810-208-0879 | |
Mr. William Kenneth Mcdonald, M.DIV., LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 129 N River St, Fenton, MI 48430 Phone: 810-629-0760 Fax: 810-616-6268 | |
Ms. Natalie Ann Merkel, BSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7593 Dean Rd, Fenton, MI 48430 Phone: 734-748-9317 | |
Michelle Arlene Mayer, MSW, LMSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 335 N Lemen St, Fenton, MI 48430 Phone: 810-397-8454 |