| Glubke And White Psychotherapy | |
|
3503 Greenleaf Blvd Ste 203 Kalamazoo MI 49008-2580 | |
| (917) 355-5801 | |
| (269) 375-6078 |
| Full Name | Glubke And White Psychotherapy |
|---|---|
| Speciality | Social Worker |
| Location | 3503 Greenleaf Blvd Ste 203, Kalamazoo, Michigan |
| Authorized Official Name and Position | Jeffrey G. White (OWNER) |
| Authorized Official Contact | 9173555801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glubke And White Psychotherapy 2327 Hillsdale Ave Kalamazoo MI 49006-2160 Ph: (917) 355-5801 | Glubke And White Psychotherapy 3503 Greenleaf Blvd Ste 203 Kalamazoo MI 49008-2580 Ph: (917) 355-5801 |
| NPI Number | 1962195859 |
|---|---|
| Provider Enumeration Date | 05/29/2023 |
| Last Update Date | 05/29/2023 |
| Certification Date | 05/28/2023 |
| Medicare PECOS PAC ID | 8022478866 |
|---|---|
| Medicare Enrollment ID | O20230712002018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962195859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jeffrey G White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538213103 PECOS PAC ID: 5294880795 Enrollment ID: I20180718003487 |
| Provider Name | Mark Glubke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992017305 PECOS PAC ID: 3072973817 Enrollment ID: I20240217000418 |
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