| Shayna Irvine, LMSW | |
|
1420 University Ave, Flint, MI 48504-6208 | |
| (810) 238-0475 | |
| Not Available |
| Full Name | Shayna Irvine |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1420 University Ave, Flint, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497106371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801099437 (Michigan) | Primary |
| Entity Name | Tender Heart Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891037974 PECOS PAC ID: 8729220249 Enrollment ID: O20130813000844 |
| Entity Name | Tender Heart East Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902469588 PECOS PAC ID: 0749523850 Enrollment ID: O20190513001219 |
| Mailing Address | Practice Location Address |
|---|---|
| Shayna Irvine, LMSW 1420 University Ave, Flint, MI 48504-6208 Ph: (810) 238-0475 | Shayna Irvine, LMSW 1420 University Ave, Flint, MI 48504-6208 Ph: (810) 238-0475 |
Chanceya Nachelle Shelton, LLBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 529 Martin Luther King Blvd, Flint, MI 48502 Phone: 810-238-7226 Fax: 810-239-5518 | |
Mr. Ryan Christopher Ploch, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2830 Corunna Rd, Flint, MI 48503 Phone: 810-235-6812 | |
Ms. Dammiona Nicole Cromedy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 W Water St, Suite 108, Flint, MI 48503 Phone: 810-232-2766 | |
Mrs. Vicki Lynn Tims, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 W 5th Ave, Flint, MI 48503 Phone: 810-496-5330 Fax: 810-762-5234 | |
Kimberly Ann Campbell, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2702 Flushing Rd, Flint, MI 48504 Phone: 810-424-5998 Fax: 810-424-6347 | |
Special Enzinga-chicarra Jones, BSSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 806 Tuuri Pl, Flint, MI 48503 Phone: 810-428-6132 | |
John F Miller, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4413 Corunna Rd, Delta Family Clinic, Flint, MI 48532 Phone: 810-630-1152 Fax: 810-630-9107 |