| Michael Timothy Carroll, LMSW | |
|
1603 E 9 Mile Rd, Ferndale, MI 48220-2065 | |
| (248) 514-4955 | |
| Not Available |
| Full Name | Michael Timothy Carroll |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1603 E 9 Mile Rd, Ferndale, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942774054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801110612 (Michigan) | Primary |
| Entity Name | Emotional Advantage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447647789 PECOS PAC ID: 7719208842 Enrollment ID: O20150602000569 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Timothy Carroll, LMSW 1603 E 9 Mile Rd, Ferndale, MI 48220-2065 Ph: (248) 514-4955 | Michael Timothy Carroll, LMSW 1603 E 9 Mile Rd, Ferndale, MI 48220-2065 Ph: (248) 514-4955 |
Shelby Jacquemain, LMSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3138 Hilton Rd, Ferndale, MI 48220 Phone: 248-232-2555 | |
Taylor Bryant, LLMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 23231 Woodward Ave, Ferndale, MI 48220 Phone: 248-581-8777 | |
Kelsie Marissa Thorne, M.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 290 W 9 Mile Rd, Ferndale, MI 48220 Phone: 732-986-7513 | |
Spencer Graye Genrich, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23231 Woodward Ave, Ferndale, MI 48220 Phone: 248-581-8777 | |
Mark Mcmillan, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Hilton Rd Ste 1, Ferndale, MI 48220 Phone: 248-907-0247 Fax: 248-907-0247 | |
Matthew Daniel Clinton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1603 E 9 Mile Rd, Ferndale, MI 48220 Phone: 248-716-0690 | |
Deanna Marie Widenhofer, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10300 W 8 Mile Rd, Ferndale, MI 48220 Phone: 248-691-4828 |