| Ms Terri Lou Mackenzie, LMSW | |
|
2940 Ellsworth Rd, Youth & Family Services, Ypsilanti, MI 48197-7406 | |
| (734) 971-9605 | |
| (734) 434-1511 |
| Full Name | Ms Terri Lou Mackenzie |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2940 Ellsworth Rd, Ypsilanti, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104961879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801078467 (Michigan) | Primary |
| Entity Name | Key Development Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386114866 PECOS PAC ID: 0244602530 Enrollment ID: O20230215000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Terri Lou Mackenzie, LMSW 555 Towner St, Po Box 915, Ypsilanti, MI 48198-5752 Ph: (734) 544-3000 | Ms Terri Lou Mackenzie, LMSW 2940 Ellsworth Rd, Youth & Family Services, Ypsilanti, MI 48197-7406 Ph: (734) 971-9605 |
Vitalis Im, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3150 Packard Rd, Ypsilanti, MI 48197 Phone: 248-581-8777 | |
Caitlin Corrine Newman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6633 Stony Creek Rd, Ypsilanti, MI 48197 Phone: 734-485-8725 | |
Kivia Ashford, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 32 N Washington St Ste 14c, Ypsilanti, MI 48197 Phone: 734-209-5444 | |
Tyler Perala, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 Pearl St Ste 207, Ypsilanti, MI 48197 Phone: 734-945-6210 Fax: 734-368-9115 | |
Jason Francis Schwartz, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6633 Stony Creek Rd, Ypsilanti, MI 48197 Phone: 734-485-8725 | |
Jasmin Ashakih, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2488 Golfside Rd, Ypsilanti, MI 48197 Phone: 734-709-6205 | |
Kia Sweeney, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1740 Cliffs Lndg Apt 202, Ypsilanti, MI 48198 Phone: 313-485-8397 |