| Mr Larry Lacross, LLMSW | |
|
154 S Ripley Blvd, Alpena, MI 49707-3406 | |
| (989) 356-6385 | |
| Not Available |
| Full Name | Mr Larry Lacross |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 154 S Ripley Blvd, Alpena, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245475417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801090780 (Michigan) | Primary |
| Entity Name | Catholic Human Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497716047 PECOS PAC ID: 4880586494 Enrollment ID: O20040329000192 |
| Entity Name | Thunder Bay Community Health Service Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629107552 PECOS PAC ID: 0143296772 Enrollment ID: O20040907000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry Lacross, LLMSW 154 S Ripley Blvd, Alpena, MI 49707-3406 Ph: (989) 356-6385 | Mr Larry Lacross, LLMSW 154 S Ripley Blvd, Alpena, MI 49707-3406 Ph: (989) 356-6385 |
Patty Dichtel, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 318 W Fletcher St, Alpena, MI 49707 Phone: 989-884-1165 | |
Gary L Knudson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7390 Fax: 989-356-8013 | |
Amy J Fitzpatrick, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 N State Ave, Alpena, MI 49707 Phone: 989-497-2500 | |
Mikayla Elizabeth Paquette, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 400 Johnson St, Alpena, MI 49707 Phone: 989-358-7789 | |
Patrick Mullen, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Johnson St, Alpena, MI 49707 Phone: 989-356-2161 Fax: 989-354-5898 | |
Vincent J Call, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 S 1st Ave, Alpena, MI 49707 Phone: 989-358-9393 | |
Renee Luise Diener, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 150 S Ripley Blvd, Alpena, MI 49707 Phone: 989-884-0066 |