Lacey Trent Lmsw Llc | |
37400 Garfield Rd Ste 110 Clinton Twp MI 48036-3648 | |
(562) 652-9744 | |
Not Available |
Full Name | Lacey Trent Lmsw Llc |
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Speciality | Social Worker |
Location | 37400 Garfield Rd Ste 110, Clinton Twp, Michigan |
Authorized Official Name and Position | Lacey Trent (LMSW/THERAPIST) |
Authorized Official Contact | 5626529744 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lacey Trent Lmsw Llc 37400 Garfield Rd Ste 110 Clinton Township MI 48036-3648 Ph: (562) 652-9744 | Lacey Trent Lmsw Llc 37400 Garfield Rd Ste 110 Clinton Twp MI 48036-3648 Ph: (562) 652-9744 |
NPI Number | 1154105112 |
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Provider Enumeration Date | 08/22/2023 |
Last Update Date | 04/20/2025 |
Certification Date | 04/19/2025 |
Medicare PECOS PAC ID | 7719335710 |
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Medicare Enrollment ID | O20231201001437 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154105112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Lacey Trent |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538593322 PECOS PAC ID: 5799106696 Enrollment ID: I20220719002437 |
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