| Mr William C Fowle, LMSW | |
|
1719 S Garfield Ave, Traverse City, MI 49686-4337 | |
| (231) 935-0799 | |
| (231) 935-0962 |
| Full Name | Mr William C Fowle |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 50 Years |
| Location | 1719 S Garfield Ave, Traverse City, 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 |
|---|---|---|---|
| 1154531648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801012831 (Michigan) | Primary |
| 106H00000X | Marriage & Family Therapist | 4101005403 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Old Town Psychological Services | 2466600101 | 8 |
| Entity Name | Old Town Psychological Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093989162 PECOS PAC ID: 2466600101 Enrollment ID: O20120921000057 |
| Entity Name | Traverse Health Clinic And Coalition |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467632059 PECOS PAC ID: 0547407181 Enrollment ID: O20130520000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William C Fowle, LMSW 1719 S Garfield Ave, Traverse City, MI 49686-4337 Ph: (231) 935-0799 | Mr William C Fowle, LMSW 1719 S Garfield Ave, Traverse City, MI 49686-4337 Ph: (231) 935-0799 |
Mr. Peter Joseph Zoutendyk Jr., MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 810 S Garfield Ave Ste B, Traverse City, MI 49686 Phone: 231-947-0511 | |
Mrs. Janet Lynn Hughes, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1844 Oak Hollow Dr, Suite B, Traverse City, MI 49686 Phone: 231-929-0300 Fax: 231-933-6378 | |
Mr. Calvin George Sikarskie, MS, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3785 Veterans Dr, Traverse City, MI 49684 Phone: 231-929-0520 | |
Mr. Michael Franklin Coonan, LMSW ACSW BCD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1889 E River Rd, Traverse City, MI 49696 Phone: 850-377-1960 | |
Mr. Robert Anthony Fernandez, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 954 Business Park Dr, Traverse City, MI 49686 Phone: 231-590-3411 | |
Ms. Melanie Sue Lutz, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4020 Copper Vw Ste 104, Traverse City, MI 49684 Phone: 231-421-6921 Fax: 234-421-7852 | |
Melissa Hall, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 735 S Garfield Ave, Traverse City, MI 49686 Phone: 231-267-8296 Fax: 231-368-6270 |