| Ms Stephanie Theresa Herzhaft, LMSW | |
|
11652 W Grand River Ave, Lowell, MI 49331-9203 | |
| (616) 897-5900 | |
| (616) 897-5954 |
| Full Name | Ms Stephanie Theresa Herzhaft |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 11652 W Grand River Ave, Lowell, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922202233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801092354 (Michigan) | Primary |
| 104100000X | Social Worker | 6802085960 (Michigan) | Secondary |
| Entity Name | Hope Network West Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679558670 PECOS PAC ID: 5395837603 Enrollment ID: O20070816000328 |
| Entity Name | Hope Network Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043295934 PECOS PAC ID: 9537251756 Enrollment ID: O20070817000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stephanie Theresa Herzhaft, LMSW 713 N Center Dr Nw, Walker, MI 49544 Ph: (616) 648-6909 | Ms Stephanie Theresa Herzhaft, LMSW 11652 W Grand River Ave, Lowell, MI 49331-9203 Ph: (616) 897-5900 |
Mr. Douglas Wood Cushman, L. M. S. W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11652 W Grand River Ave, Lowell, MI 49331 Phone: 616-897-5900 Fax: 616-897-5954 | |
Mckenna Davis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11630 Fulton St E, Lowell, MI 49331 Phone: 616-481-3784 | |
Ms. Grace Wenk, MSW, MPA Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11652 W Grand River Ave, Lowell, MI 49331 Phone: 616-726-5121 | |
Mrs. Cortney Rae Duffner, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11630 Fulton St E, Lowell, MI 49331 Phone: 616-481-3784 | |
Shana Tundevold, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3203 Timpson Ave Se, Lowell, MI 49331 Phone: 616-690-0646 | |
Thomas Jacob Fox, LMSW, CAADC Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1752 Fay St, Lowell, MI 49331 Phone: 616-528-0069 | |
Miss Alison Courtney Mace, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11652 W Grand River Ave, Lowell, MI 49331 Phone: 616-389-2738 |