| Laurie B. Kimmel, Lmsw, Acsw, Pllc | |
|
5596 Fox Hunt Ln West Bloomfield MI 48322-1639 | |
| (248) 660-4637 | |
| (636) 582-5957 |
| Full Name | Laurie B. Kimmel, Lmsw, Acsw, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5596 Fox Hunt Ln, West Bloomfield, Michigan |
| Authorized Official Name and Position | Laurie Kimmel (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2486604637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie B. Kimmel, Lmsw, Acsw, Pllc 5596 Fox Hunt Ln West Bloomfield MI 48322-1639 Ph: (248) 660-4637 | Laurie B. Kimmel, Lmsw, Acsw, Pllc 5596 Fox Hunt Ln West Bloomfield MI 48322-1639 Ph: (248) 660-4637 |
| NPI Number | 1710226352 |
|---|---|
| Provider Enumeration Date | 02/01/2013 |
| Last Update Date | 02/01/2013 |
| Medicare PECOS PAC ID | 1557515921 |
|---|---|
| Medicare Enrollment ID | O20130212000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710226352 | NPI | - | NPPES |
| OP1240 | Other | MI | MEDICARE CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801057192 (Michigan) | Primary |
| Provider Name | Laurie B Kimmel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831129832 PECOS PAC ID: 1951382977 Enrollment ID: I20040526000707 |
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