| Nikisha Blue Waters Lapine, MSW | |
|
440 Woodward Ave, Iron Mountain, MI 49801-4631 | |
| (906) 776-9040 | |
| (906) 774-7279 |
| Full Name | Nikisha Blue Waters Lapine |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 440 Woodward Ave, Iron Mountain, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710517883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801106247 (Michigan) | Primary |
| 101YM0800X | Counselor - Mental Health | 6801117454 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bellin Memorial Hospital Inc | 8820900749 | 679 |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376649509 PECOS PAC ID: 8820900749 Enrollment ID: O20061218000510 |
| Entity Name | Bellin Psychiatric Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801150206 PECOS PAC ID: 4486551058 Enrollment ID: O20121222000022 |
| Entity Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356799969 PECOS PAC ID: 2163461781 Enrollment ID: O20161123001560 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikisha Blue Waters Lapine, MSW 744 S Webster Ave, Medical Staff Services, Green Bay, WI 54301-3505 Ph: () - | Nikisha Blue Waters Lapine, MSW 440 Woodward Ave, Iron Mountain, MI 49801-4631 Ph: (906) 776-9040 |
Janice Lynn Bolander, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 Fax: 906-779-3143 | |
Alyssa Knoll, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 | |
Ms. Nicole Marie Foster Holdwick, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-221-4898 | |
Mr. Thom Joseph Rancour, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-229-6120 | |
Sean David Coopersmith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 Fax: 906-779-3114 | |
Mr. Mark R Young, MSSW, LMSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 427 S. Stephenson Ave., 2nd Floor, Iron Mountain, MI 49801 Phone: 906-776-4357 | |
Richard Theiler Holmstrom, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 |