| Hurley Clinical Social Worker | |
|
G1125 S. Linden Road Suite 210 Flint MI 48532 | |
| (810) 262-2100 | |
| Not Available |
| Full Name | Hurley Clinical Social Worker |
|---|---|
| Speciality | Social Worker |
| Location | G1125 S. Linden Road, Flint, Michigan |
| Authorized Official Name and Position | Kimberly Ecker (DIRECTOR) |
| Authorized Official Contact | 8102579952 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hurley Clinical Social Worker 1 Hurley Plz Flint MI 48503-5902 Ph: (810) 262-9255 | Hurley Clinical Social Worker G1125 S. Linden Road Suite 210 Flint MI 48532 Ph: (810) 262-2100 |
| NPI Number | 1457571200 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Medicare PECOS PAC ID | 2961308481 |
|---|---|
| Medicare Enrollment ID | O20031212000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457571200 | NPI | - | NPPES |
| 750910736 | Other | MI | BS OPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 250040 (Michigan) | Primary |
| Provider Name | Geraldine Chaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124199641 PECOS PAC ID: 3870574783 Enrollment ID: I20040526001501 |
| Provider Name | Debra Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336276294 PECOS PAC ID: 7618932427 Enrollment ID: I20041122000236 |
| Provider Name | Phyllis A Tunis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194897629 PECOS PAC ID: 0345206090 Enrollment ID: I20041206000128 |
| Provider Name | Judy L Arrand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497773436 PECOS PAC ID: 6507802956 Enrollment ID: I20050707000354 |
| Provider Name | Emily Judd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770698649 PECOS PAC ID: 8628078599 Enrollment ID: I20061228000357 |
| Provider Name | Kathleen L Dunn Mckamie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982640553 PECOS PAC ID: 2062573108 Enrollment ID: I20081208000085 |
| Provider Name | Edward N Irizarry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780814400 PECOS PAC ID: 8325191356 Enrollment ID: I20090807000599 |
| Provider Name | Henry C Tidwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518949312 PECOS PAC ID: 6800072091 Enrollment ID: I20110524000704 |
| Provider Name | Nan S Rahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780750182 PECOS PAC ID: 0547437337 Enrollment ID: I20120119000185 |
| Provider Name | Diane A Vack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073806733 PECOS PAC ID: 2365741659 Enrollment ID: I20160509002345 |
| Provider Name | Margaret Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518436062 PECOS PAC ID: 9335548668 Enrollment ID: I20210519000156 |
| Provider Name | Emily Mccrandall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144881525 PECOS PAC ID: 8325444391 Enrollment ID: I20210831002300 |
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