| Michael Paul-david Cooper, LMSW | |
|
201 W Railroad St, Suite A, Saint Johns, MI 48879-1547 | |
| (989) 224-5300 | |
| (517) 346-8291 |
| Full Name | Michael Paul-david Cooper |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 201 W Railroad St, Saint Johns, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174721997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801088192 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Paul-david Cooper, LMSW 812 E Jolly Rd, Suite 210, Lansing, MI 48910-6818 Ph: (517) 346-8306 | Michael Paul-david Cooper, LMSW 201 W Railroad St, Suite A, Saint Johns, MI 48879-1547 Ph: (989) 224-5300 |
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 | |
Menta Nichole Back, 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: Not Enrolled in Medicare 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: Not Enrolled in Medicare 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 |