Michaela J Detrick, LPC, CAADC - Counselor in Williamsport, PA

Michaela J Detrick, LPC, CAADC is a Counselor - Professional based in Williamsport, Pennsylvania. Michaela J Detrick is licensed to practice in Pennsylvania (license number PC013722) and her current practice location is 1521 Washington Blvd, Williamsport, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (570) 322-5051.

NPI number for Michaela J Detrick is 1144990961 and her current mailing address is 716 N Loyalsock Ave, Montoursville, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144990961.

Contact Information

Michaela J Detrick, LPC, CAADC
1521 Washington Blvd,
Williamsport, PA 17701-5426
(570) 322-5051
(570) 322-6788

Map and Direction


Healthcare Provider's Profile

Full NameMichaela J Detrick
GenderFemale
SpecialityCounselor - Professional
Location1521 Washington Blvd, Williamsport, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144990961
  • Provider Enumeration Date: 09/14/2021
  • Last Update Date: 09/14/2021

Medical Identifiers

Medical identifiers for Michaela J Detrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144990961NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health PC013722 (Pennsylvania)Secondary
101YP2500XCounselor - Professional PC013722 (Pennsylvania)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) 10091 (Pennsylvania)Secondary

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. Michaela J Detrick 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 AddressPractice Location Address
Michaela J Detrick, LPC, CAADC
716 N Loyalsock Ave,
Montoursville, PA 17754-1022

Ph: (570) 220-5460
Michaela J Detrick, LPC, CAADC
1521 Washington Blvd,
Williamsport, PA 17701-5426

Ph: (570) 322-5051

Reviews and Comments


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Kathleen E Soccio, BSL, LPC
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Medicare: Not Enrolled in Medicare
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John Wright,
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Medicare: Not Enrolled in Medicare
Practice Location: 435 W 4th St, Williamsport, PA 17701
Phone: 570-322-7873    

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