| Menta Nichole Back, LLMSW | |
|
1505 Waterford Pkwy, Saint Johns, MI 48879-9630 | |
| (989) 292-3572 | |
| Not Available |
| Full Name | Menta Nichole Back |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1505 Waterford Pkwy, Saint Johns, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235846502 | NPI | - | NPPES |
| 1871931055 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Menta Nichole Back, LLMSW 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 Ph: (989) 292-3572 | Menta Nichole Back, LLMSW 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 Ph: (989) 292-3572 |
Michael Paul-david Cooper, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 201 W Railroad St, Suite A, Saint Johns, MI 48879 Phone: 989-224-5300 Fax: 517-346-8291 | |
Hannah Love Frazier, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1505 Waterford Pkwy, Saint Johns, MI 48879 Phone: 989-292-3572 | |
Paige Victoria Pung, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1505 Waterford Pkwy, Saint Johns, MI 48879 Phone: 989-292-3572 Fax: 989-292-3952 | |
Cynthia Carson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 E Sturgis St, Suite 3, Saint Johns, MI 48879 Phone: 989-224-6729 Fax: 989-224-2342 | |
Christian Mcdaniel, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1000 E Sturgis St, Saint Johns, MI 48879 Phone: 989-224-5300 Fax: 517-346-8291 | |
Elizabeth Purnell, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 S Us Highway 27, Saint Johns, MI 48879 Phone: 989-224-4700 |