| Sandra Duque, LMSW | |
|
1660 Fort St, Trenton, MI 48183-2003 | |
| (734) 304-4159 | |
| Not Available |
| Full Name | Sandra Duque |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 1660 Fort St, Trenton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629233952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 6801090278 (Michigan) | Primary |
| Entity Name | Psygenics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669736104 PECOS PAC ID: 9436465820 Enrollment ID: O20150831002063 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Duque, LMSW 1660 Fort St, Trenton, MI 48183-2003 Ph: (734) 304-4159 | Sandra Duque, LMSW 1660 Fort St, Trenton, MI 48183-2003 Ph: (734) 304-4159 |
David William Schaefer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1660 Fort St, Trenton, MI 48183 Phone: 734-676-1333 | |
Bernadette Halash, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1545 Kingsway Ct # 207, Trenton, MI 48183 Phone: 734-307-0318 | |
Emily Elizabeth- Lee England, LLBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1660 Fort St, Trenton, MI 48183 Phone: 313-340-4442 | |
Jessica Ecie, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2871 West Rd, Trenton, MI 48183 Phone: 734-346-6430 | |
Alisa Turner, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2871 West Rd, Trenton, MI 48183 Phone: 734-346-6430 | |
Ms. Shauna Gulliver, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3301 Ward St, Trenton, MI 48183 Phone: 173-455-2925 | |
Courtney Ann Kryda, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3225 Van Horn Rd Ste 100, Trenton, MI 48183 Phone: 313-703-9523 |