| Jennifer Braman Msw Plc | |
|
130 W Wood St Newaygo MI 49337-8991 | |
| (231) 206-6159 | |
| Not Available |
| Full Name | Jennifer Braman Msw Plc |
|---|---|
| Speciality | Social Worker |
| Location | 130 W Wood St, Newaygo, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Braman Msw Plc Po Box 10 Mason MI 48854-0010 Ph: () - | Jennifer Braman Msw Plc 130 W Wood St Newaygo MI 49337-8991 Ph: (231) 206-6159 |
| NPI Number | 1467975086 |
|---|---|
| Provider Enumeration Date | 07/25/2017 |
| Last Update Date | 08/15/2019 |
| Medicare PECOS PAC ID | 7416285564 |
|---|---|
| Medicare Enrollment ID | O20190827003040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467975086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Braman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114351905 PECOS PAC ID: 9032447180 Enrollment ID: I20190827003344 |
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