| Michael Robert Goldsmith, LMSW | |
|
10854 North Ct, Allendale, MI 49401-9773 | |
| (616) 430-2826 | |
| Not Available |
| Full Name | Michael Robert Goldsmith |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 10854 North Ct, Allendale, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376847582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801090255 (Michigan) | Primary |
| Entity Name | West Michigan Support And Consultation Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518393313 PECOS PAC ID: 8022246404 Enrollment ID: O20140109001243 |
| Entity Name | Bcs Of Michigan Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164816195 PECOS PAC ID: 0840503652 Enrollment ID: O20150723007021 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Robert Goldsmith, LMSW 10854 North Ct, Allendale, MI 49401-9773 Ph: (616) 430-2826 | Michael Robert Goldsmith, LMSW 10854 North Ct, Allendale, MI 49401-9773 Ph: (616) 430-2826 |
Fluarry Dwayne Jackson Jr., LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5068 W Campus Dr Apt G25, Allendale, MI 49401 Phone: 231-740-3455 | |
Lian Giese, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11304 Edgewater Dr Ste D, Allendale, MI 49401 Phone: 616-892-1070 Fax: 616-892-1073 | |
Christie Custer, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11304 Edgewater Dr, Suite D, Allendale, MI 49401 Phone: 616-892-1070 Fax: 616-892-1073 | |
Mrs. Gina Marie Merritt, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11304 Edgewater Dr, Suite D, Allendale, MI 49401 Phone: 616-892-1070 | |
Christen Clark, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11304 Edgewater Dr Ste D, Allendale, MI 49401 Phone: 616-892-1070 | |
Emma Luedtke, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11304 Edgewater Dr Ste D, Allendale, MI 49401 Phone: 616-892-1070 Fax: 616-892-1073 |