| Debra S Somervill Lmsw Llc | |
|
1214 S Cochran Ave Charlotte MI 48813-2206 | |
| (517) 474-0747 | |
| (517) 323-9531 |
| Full Name | Debra S Somervill Lmsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1214 S Cochran Ave, Charlotte, Michigan |
| Authorized Official Name and Position | Debra S Somervill (OWNER) |
| Authorized Official Contact | 5174740747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra S Somervill Lmsw Llc 1214 S Cochran Ave Charlotte MI 48813-2206 Ph: (517) 474-0747 | Debra S Somervill Lmsw Llc 1214 S Cochran Ave Charlotte MI 48813-2206 Ph: (517) 474-0747 |
| NPI Number | 1518598531 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 01/29/2020 |
| Certification Date | 01/29/2020 |
| Medicare PECOS PAC ID | 5496186124 |
|---|---|
| Medicare Enrollment ID | O20200513003228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518598531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Debra S Somervill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427019819 PECOS PAC ID: 9335045103 Enrollment ID: I20031211000460 |
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