| Susan Dice, LMSW | |
|
4503 Leonard St, Coopersville, MI 49404-8725 | |
| (616) 836-0036 | |
| Not Available |
| Full Name | Susan Dice |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4503 Leonard St, Coopersville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336727551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801111338 (Michigan) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Entity Name | Out Side In Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922306323 PECOS PAC ID: 3870895527 Enrollment ID: O20160112002059 |
| Entity Name | Counseling Center Of West Michigan Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437610730 PECOS PAC ID: 9234469255 Enrollment ID: O20190918000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Dice, LMSW 4503 Leonard St, Coopersville, MI 49404-8725 Ph: (616) 836-0036 | Susan Dice, LMSW 4503 Leonard St, Coopersville, MI 49404-8725 Ph: (616) 836-0036 |
Ms. Christina Marie Vanhouten, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Conran Dr Ste B, Coopersville, MI 49404 Phone: 616-267-7860 | |
Krista Tisdel, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Conran Dr Ste B, Coopersville, MI 49404 Phone: 616-267-7860 | |
Marcia Joy Stonehouse, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 25 Conran Dr Ste B, Coopersville, MI 49404 Phone: 616-267-7860 |