| Mr Kevin Skidmore, LMSW | |
|
43211 Dalcoma Dr, Suite 7, Clinton Township, MI 48038-6309 | |
| (586) 421-4513 | |
| (586) 948-8416 |
| Full Name | Mr Kevin Skidmore |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 30 Years |
| Location | 43211 Dalcoma Dr, Clinton Township, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275921033 | NPI | - | NPPES |
| 6801077644 | Other | MI | STATE OF MICHIGAN LMSW LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801077644 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Solution-based Counseling Services Llc | 8729267471 | 3 |
| Entity Name | Solution-based Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669790275 PECOS PAC ID: 8729267471 Enrollment ID: O20110126000957 |
| Entity Name | Alliance Health Professionals Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841615648 PECOS PAC ID: 7618199225 Enrollment ID: O20141117000290 |
| Entity Name | Henry Ford Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427703602 PECOS PAC ID: 8921482605 Enrollment ID: O20220830000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Skidmore, LMSW 43211 Dalcoma Dr, Suite 7, Clinton Township, MI 48038-6309 Ph: (586) 421-4513 | Mr Kevin Skidmore, LMSW 43211 Dalcoma Dr, Suite 7, Clinton Township, MI 48038-6309 Ph: (586) 421-4513 |
Amy Zauel, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 43211 Dalcoma Dr Ste 7, Clinton Township, MI 48038 Phone: 586-421-4513 | |
Renee Lavigne, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43740 N Groesbeck Hwy, Clinton Township, MI 48036 Phone: 586-469-7629 Fax: 586-469-5404 | |
Evelyn Carole Gauthier, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35455 Garfield Rd, #c, Clinton Township, MI 48035 Phone: 586-792-5335 Fax: 586-792-3061 | |
Carolynne Vanderveen, LLMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 16200 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-676-7975 | |
Jessica Klemanski, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15930 19 Mile Rd Ste 150, Clinton Township, MI 48038 Phone: 586-873-5988 | |
Nicholas Denault, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21885 Dunham Rd, Clinton Township, MI 48036 Phone: 586-469-6999 | |
Maleah Lynn Montney, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 42669 Garfield Rd, Clinton Township, MI 48038 Phone: 586-412-5321 |