Mrs Jennifer Leigh James-witteveen, LMSW | |
2838 S 56th Ave, Shelby, MI 49455-9761 | |
(331) 742-1208 | |
Not Available |
Full Name | Mrs Jennifer Leigh James-witteveen |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2838 S 56th Ave, Shelby, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902173784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801093240 (Michigan) | Primary |
Entity Name | Truism Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336706480 PECOS PAC ID: 8820538184 Enrollment ID: O20240912003672 |
Entity Name | Mi Quiet Oasis Therapy Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023851110 PECOS PAC ID: 5799211298 Enrollment ID: O20241206003027 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Leigh James-witteveen, LMSW 2838 S 56th Ave, Shelby, MI 49455-9761 Ph: (331) 742-1208 | Mrs Jennifer Leigh James-witteveen, LMSW 2838 S 56th Ave, Shelby, MI 49455-9761 Ph: (331) 742-1208 |
Dr. Derik Vanbaale, PHD, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 E 6th St, Shelby, MI 49455 Phone: 616-450-2284 | |
Carol L Mast, MSW, CSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 71 Bevier St, Shelby, MI 49455 Phone: 231-861-2187 Fax: 231-861-5100 |