| Marissa Shields, LMSW | |
|
21500 Haggerty Rd Ste 350, Northville, MI 48167-8992 | |
| (734) 265-0841 | |
| Not Available |
| Full Name | Marissa Shields |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 21500 Haggerty Rd Ste 350, Northville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104525294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801115454 (Michigan) | Secondary |
| 104100000X | Social Worker | 6801115454 (Michigan) | Primary |
| Entity Name | University Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
| Entity Name | Sally Barbat Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356969810 PECOS PAC ID: 4183032998 Enrollment ID: O20210415002383 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Shields, LMSW 21500 Haggerty Rd Ste 350, Northville, MI 48167-8992 Ph: (734) 265-0841 | Marissa Shields, LMSW 21500 Haggerty Rd Ste 350, Northville, MI 48167-8992 Ph: (734) 265-0841 |
Mrs. Keely F Bartel, L.M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 413 Beal St, Northville, MI 48167 Phone: 248-767-0241 | |
Jennifer Lynn Cotter, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41740 6 Mile Rd Ste 103, Northville, MI 48168 Phone: 734-542-6969 | |
Katie Lynn Krajewski-kidd, TLLP, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 315 N Center St, Northville, MI 48167 Phone: 313-656-4052 | |
Samantha Ashlee Guyah, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 39901 Traditions Dr, Northville, MI 48168 Phone: 734-998-2020 | |
Amanda Rose-horne, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58171 8 Mile Rd, Northville, MI 48167 Phone: 248-207-5143 | |
Michelle Byers, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17706 Stonebrook Dr, Northville, MI 48168 Phone: 574-214-9078 |