Mr James L Jump Jr, MSW | |
1485 M 139, Benton Harbor, MI 49022-5711 | |
(269) 925-0585 | |
(269) 927-1326 |
Full Name | Mr James L Jump Jr |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1485 M 139, Benton Harbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972931913 | NPI | - | NPPES |
1033280763 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801035990 (Michigan) | Primary |
Entity Name | Kalamazoo County Community Mental Health Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710066253 PECOS PAC ID: 5890730337 Enrollment ID: O20050624000176 |
Mailing Address | Practice Location Address |
---|---|
Mr James L Jump Jr, MSW 1485 M 139, Benton Harbor, MI 49022-5711 Ph: (269) 925-0585 | Mr James L Jump Jr, MSW 1485 M 139, Benton Harbor, MI 49022-5711 Ph: (269) 925-0585 |
Josephine Carmel Cassar, LMSW, SSW, LMFT Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1850 Colfax Ave, Benton Harbor, MI 49022 Phone: 269-926-6199 Fax: 269-926-6780 | |
Siobhan Williams, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1613 M 139, Benton Harbor, MI 49022 Phone: 269-925-0585 | |
Anna Marie Cooper, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1613 M 139, Benton Harbor, MI 49022 Phone: 269-925-0585 Fax: 269-927-1326 | |
Mrs. Shelly Perry, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1850 Colfax Ave, Benton Harbor, MI 49022 Phone: 269-926-6199 Fax: 269-926-6780 | |
Mr. William R Helbley, LBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1485 S M 139, Benton Harbor, MI 49022 Phone: 269-925-0585 | |
Ms. Amber Kay Fergison, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1485 M 139, Benton Harbor, MI 49022 Phone: 269-925-0585 Fax: 269-927-1326 | |
Tiara M. Zimmerman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1613 M 139, Benton Harbor, MI 49022 Phone: 269-925-0585 Fax: 269-927-1326 |