| Maegan Wickstrom, LLMSW | |
|
5698w Us Highway 2, Manistique, MI 49854-9116 | |
| (906) 632-5272 | |
| Not Available |
| Full Name | Maegan Wickstrom |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 5698w Us Highway 2, Manistique, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497363063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Joel L Young Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396753729 PECOS PAC ID: 3971575929 Enrollment ID: O20040810000748 |
| Entity Name | Blue Water Mental Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457305419 PECOS PAC ID: 2769477264 Enrollment ID: O20060531000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Maegan Wickstrom, LLMSW 5698w Us Highway 2, Manistique, MI 49854-9116 Ph: (906) 632-5272 | Maegan Wickstrom, LLMSW 5698w Us Highway 2, Manistique, MI 49854-9116 Ph: (906) 632-5272 |
Mrs. Nora Lynn Brewster, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8716 N Boot Lake Rd, Manistique, MI 49854 Phone: 906-452-6233 Fax: 906-452-6233 | |
Lisa D Tatrow, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 300 Walnut St Rm 155, Manistique, MI 49854 Phone: 906-341-2244 | |
Trisha Ann Mcevers, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 E. Lakeshore Drive, Suite 102, Manistique, MI 49854 Phone: 906-286-3294 | |
Barbara Gauger, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 N Lake St, Manistique, MI 49854 Phone: 906-341-2144 | |
Kellie Campbell, LLMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 125 N Lake St, Manistique, MI 49854 Phone: 906-341-4215 | |
Mr. Jason James Dougherty, L.M.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 813 E Lakeshore Dr, Manistique, MI 49854 Phone: 906-341-3420 | |
Lisette Hoeltzel, L.M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 813 E Lakeshore Dr, Manistique, MI 49854 Phone: 906-341-3420 |