| Madison Ottjepka, LMSW | |
|
6221 King Rd, Marine City, MI 48039-1428 | |
| (810) 765-8539 | |
| Not Available |
| Full Name | Madison Ottjepka |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 5 Years |
| Location | 6221 King Rd, Marine City, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770126955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801119521 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Clair County Community Mental Health Authority | 7416861984 | 50 |
| Entity Name | St Clair County Community Mental Health Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689783672 PECOS PAC ID: 7416861984 Enrollment ID: O20031118000783 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Ottjepka, LMSW 135 Broadway St, Marine City, MI 48039-1607 Ph: (810) 765-8539 | Madison Ottjepka, LMSW 6221 King Rd, Marine City, MI 48039-1428 Ph: (810) 765-8539 |
Mr. Katie Janisse, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 Broadway St, Marine City, MI 48039 Phone: 810-765-5010 | |
Ms. Katelyn Marie Boyd, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 Broadway St, Marine City, MI 48039 Phone: 810-400-4200 | |
Renee Morris, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 135 Broadway St, Marine City, MI 48039 Phone: 810-765-5010 | |
Dr. John Burke Eitzen, LLMSW, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 156 Chartier, #2, Marine City, MI 48039 Phone: 810-765-3919 | |
Mrs. Melissa Ann Hunt, LMSW, CAADC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 515 S Parker St Ste D, Marine City, MI 48039 Phone: 810-765-5010 |