David Ballard Lane Jr, LMSW, LLP, LPC is a
Social Worker - Clinical based in Tawas City, Michigan. David Ballard Lane Jr is licensed to practice in Michigan (license number 6801016231) and his current practice location is
1199 Harris Ave, Tawas City, Michigan. He can be reached at his office (for appointments etc.) via phone at
(989) 362-8636.
NPI number for David Ballard Lane Jr is 1356481014 and his current mailing address is 1635 Douglas Dr, Tawas City, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356481014.
Healthcare Provider's Profile
| Full Name | David Ballard Lane Jr |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1199 Harris Ave, Tawas City, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1356481014
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for David Ballard Lane Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356481014 | NPI | - | NPPES |
| 6401000213 | Other | MI | LPC |
| 6301003884 | Other | MI | LLP |
| 6801016231 | Other | MI | LMSW |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 6401000213 (Michigan) | Primary |
| 103T00000X | Psychologist | 6301003884 (Michigan) | Primary |
| 1041C0700X | Social Worker - Clinical | 6801016231 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Ballard Lane Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
David Ballard Lane Jr, LMSW, LLP, LPC
1635 Douglas Dr,
Tawas City, MI 48763-9422
Ph: (989) 362-8636 | David Ballard Lane Jr, LMSW, LLP, LPC
1199 Harris Ave,
Tawas City, MI 48763-9681
Ph: (989) 362-8636 |
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