| Mr Ryan Paul Davis, LMSW | |
|
2030 Portage St, Kalamazoo, MI 49001-3836 | |
| (269) 553-8103 | |
| (269) 364-6983 |
| Full Name | Mr Ryan Paul Davis |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 2030 Portage St, Kalamazoo, 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 |
|---|---|---|---|
| 1588937023 | NPI | - | NPPES |
| 1705146 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801100115 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Mental Health Services Of St Joseph County | 9032178496 | 15 |
| Entity Name | Community Mental Health Services Of St Joseph County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366438483 PECOS PAC ID: 9032178496 Enrollment ID: O20041011000172 |
| 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 Ryan Paul Davis, LMSW 2030 Portage St, Kalamazoo, MI 49001-3836 Ph: (269) 553-8103 | Mr Ryan Paul Davis, LMSW 2030 Portage St, Kalamazoo, MI 49001-3836 Ph: (269) 553-8103 |
Rachael Anne Hart, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2615 Stadium Drive, Kalamazoo, MI 49008 Phone: 269-343-1651 Fax: 269-382-7078 | |
Ms. Sandra Karen Watson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1902 Colgrove Ave, #114, Kalamazoo, MI 49048 Phone: 269-343-9568 | |
Veronica Lynn Rothney, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 601 John St Ste M-170, Kalamazoo, MI 49007 Phone: 269-381-5060 Fax: 269-381-1655 | |
Alan Strong, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3125 W Main St, Kalamazoo, MI 49006 Phone: 269-903-6638 Fax: 888-712-9370 | |
Travis B Guerrero, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6120 Stadium Dr Ste 100, Kalamazoo, MI 49009 Phone: 269-245-9455 | |
Mrs. Chalonda Dwyer, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 615 E Crosstown Pkwy, Kalamazoo, MI 49001 Phone: 816-686-5113 | |
Shelby Peters, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3317 Greenleaf Blvd, Kalamazoo, MI 49008 Phone: 269-216-3337 |