| Renee Sporer, LLMSW | |
|
920 Diana St, Ludington, MI 49431-1987 | |
| (231) 845-6294 | |
| (231) 845-7095 |
| Full Name | Renee Sporer |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 920 Diana St, Ludington, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598005506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801095139 (Michigan) | Primary |
| Entity Name | Renee Sporer Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578224911 PECOS PAC ID: 9739572314 Enrollment ID: O20220202002552 |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Sporer, LLMSW 920 Diana St, Ludington, MI 49431-1987 Ph: (231) 845-6294 | Renee Sporer, LLMSW 920 Diana St, Ludington, MI 49431-1987 Ph: (231) 845-6294 |
Sara Durand, BSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Brooke Taylor, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Kaitlyn Rose Pscodna, MSW, LGSW, RDN, CSSD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7052 Abrahamson Rd, Ludington, MI 49431 Phone: 612-405-4251 | |
James Michael Foley, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Alicia M Kaja, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5705 W Johnson Rd, Ludington, MI 49431 Phone: 231-425-4414 | |
Mr. Barry Alan Blacktop, MA, CSW, LLP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Lisa A Bradley, ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 409 W Ludington Ave, Suite 307, Ludington, MI 49431 Phone: 231-843-8877 Fax: 231-845-0264 |