| Mr Jacob Michael Lisak, | |
|
200 N Madison St, Marshall, MI 49068-1199 | |
| (269) 789-3862 | |
| (269) 789-8126 |
| Full Name | Mr Jacob Michael Lisak |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 200 N Madison St, Marshall, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770417263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34009044A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801108553 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jacob Michael Lisak, 319 S Capital Ave, Athens, MI 49011-9335 Ph: (269) 789-3862 | Mr Jacob Michael Lisak, 200 N Madison St, Marshall, MI 49068-1199 Ph: (269) 789-3862 |
Ms. Shannon Amber Wilson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 E Green St, Marshall, MI 49068 Phone: 269-248-1624 | |
Mrs. Crystal Marie Dowding, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18720 16 Mile Rd, Marshall, MI 49068 Phone: 269-760-5425 | |
Ms. Tiffiny Lynn Harrington, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 707 E Mansion St, Marshall, MI 49068 Phone: 269-966-5600 Fax: 269-966-5429 | |
Aimee Louise Lemon, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15209 W Michigan Ave, Marshall, MI 49068 Phone: 269-781-9119 Fax: 269-781-4347 | |
Mrs. Erin Wilson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19910 19 1/2 Mile Rd, Marshall, MI 49068 Phone: 517-414-5427 | |
Susan Taylor, MSW CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15209 W Michigan Ave, Marshall, MI 49068 Phone: 269-781-9119 Fax: 269-781-7872 | |
Mr. Randall E Riser, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 221 N Gordon St, Marshall, MI 49068 Phone: 269-781-9455 Fax: 269-781-9477 |