Mrs Ajee Gabrielle Witherspoon, LLMSW is a
Social Worker - Clinical based in Pontiac, Michigan. Mrs Ajee Gabrielle Witherspoon is licensed to practice in * (Not Available) (license number ) and her current practice location is
461 W Huron St Ste 107, Pontiac, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 724-7600.
NPI number for Mrs Ajee Gabrielle Witherspoon is 1629746581 and her current mailing address is 37426 Fountain Park Cir Apt 363, Westland, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629746581.
Healthcare Provider's Profile
| Full Name | Mrs Ajee Gabrielle Witherspoon |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 461 W Huron St Ste 107, Pontiac, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629746581
- Provider Enumeration Date: 09/03/2021
- Last Update Date: 09/03/2021
Medical Identifiers
Medical identifiers for Mrs Ajee Gabrielle Witherspoon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629746581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Mrs Ajee Gabrielle Witherspoon 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 |
|---|
Mrs Ajee Gabrielle Witherspoon, LLMSW
37426 Fountain Park Cir Apt 363,
Westland, MI 48185-5647
Ph: (734) 658-9019 | Mrs Ajee Gabrielle Witherspoon, LLMSW
461 W Huron St Ste 107,
Pontiac, MI 48341-1601
Ph: (248) 724-7600 |
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