| Mrs Susan Lynn Allred, LMSW | |
|
1910 E Miller Rd, Fairview, MI 48621-8731 | |
| (989) 848-5644 | |
| Not Available |
| Full Name | Mrs Susan Lynn Allred |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1910 E Miller Rd, Fairview, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396874988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801020134 (Michigan) | Primary |
| Entity Name | Pine Rest Christian Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922019157 PECOS PAC ID: 4981506508 Enrollment ID: O20040123000787 |
| 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 |
|---|---|
| Mrs Susan Lynn Allred, LMSW 1614 Van Geisen Rd, Caro, MI 48723-1305 Ph: (231) 383-2631 | Mrs Susan Lynn Allred, LMSW 1910 E Miller Rd, Fairview, MI 48621-8731 Ph: (989) 848-5644 |
Angela Lynne Enos, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1879 E Miller Rd, Fairview, MI 48621 Phone: 989-742-4583 | |
Samantha Leeck, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1910 E Miller Rd, Fairview, MI 48621 Phone: 989-848-5644 Fax: 989-318-4606 |