| Lisa Ottenhoff Msw Csw Acsw | |
|
391 S Shore Dr Ste 214 Battle Creek MI 49014 | |
| (269) 964-0153 | |
| (855) 877-5812 |
| Full Name | Lisa Ottenhoff Msw Csw Acsw |
|---|---|
| Speciality | Social Worker |
| Location | 391 S Shore Dr Ste 214, Battle Creek, Michigan |
| Authorized Official Name and Position | Lisa Ottenhoff (OWNER) |
| Authorized Official Contact | 2699640153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Ottenhoff Msw Csw Acsw 391 S Shore Dr Ste 214 Battle Creek MI 49014-5446 Ph: (269) 964-0153 | Lisa Ottenhoff Msw Csw Acsw 391 S Shore Dr Ste 214 Battle Creek MI 49014 Ph: (269) 964-0153 |
| NPI Number | 1306193602 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 06/11/2021 |
| Certification Date | 06/11/2021 |
| Medicare PECOS PAC ID | 8123305802 |
|---|---|
| Medicare Enrollment ID | O20170505001608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306193602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801065659 (Michigan) | Primary |
| Provider Name | Jerry D Gillette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831224682 PECOS PAC ID: 7315916434 Enrollment ID: I20040927000434 |
| Provider Name | Marilyn C Strobel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306954797 PECOS PAC ID: 2769489699 Enrollment ID: I20061107000039 |
| Provider Name | Lisa Y Ottenhoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083613624 PECOS PAC ID: 9234328584 Enrollment ID: I20110118000994 |
| Provider Name | Jean Concannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912446139 PECOS PAC ID: 6901181585 Enrollment ID: I20170322000615 |
| Provider Name | Marrit Shiery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356893960 PECOS PAC ID: 8022394402 Enrollment ID: I20170419002381 |
| Provider Name | Elizabeth R Chambers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780180752 PECOS PAC ID: 0749543189 Enrollment ID: I20180417001147 |
| Provider Name | Dawn R Lowrance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295219558 PECOS PAC ID: 7517219819 Enrollment ID: I20181016000078 |
| Provider Name | Amanda J Everett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518302173 PECOS PAC ID: 9436371465 Enrollment ID: I20200527001122 |
| Provider Name | Blythe B Otter-bugg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598258824 PECOS PAC ID: 6002215118 Enrollment ID: I20210521001706 |
| Provider Name | Ginger Harbin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427631613 PECOS PAC ID: 4082013412 Enrollment ID: I20210604000489 |
| Provider Name | Jamie L Otter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356869101 PECOS PAC ID: 9032519111 Enrollment ID: I20210610002334 |
| Provider Name | Suzanne C Council |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124629886 PECOS PAC ID: 8224436530 Enrollment ID: I20211016000045 |
| Provider Name | Michele Arlene Bagley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689312423 PECOS PAC ID: 9032568845 Enrollment ID: I20231205003041 |
| Provider Name | Tracy Lee Gogan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972830826 PECOS PAC ID: 4587013339 Enrollment ID: I20231206000334 |
| Provider Name | Edwina Wallace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003382938 PECOS PAC ID: 3577913144 Enrollment ID: I20231221003400 |
| Provider Name | Lorin Nemrava |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013045228 PECOS PAC ID: 9931550654 Enrollment ID: I20240108000560 |
| Provider Name | Tonya Fontes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427321736 PECOS PAC ID: 1254782477 Enrollment ID: I20240111002501 |
| Provider Name | Dennis B Owens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508038324 PECOS PAC ID: 6204288541 Enrollment ID: I20240123000459 |
| Provider Name | Lacey Joy Merchant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699029082 PECOS PAC ID: 1658717517 Enrollment ID: I20240313003546 |
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Spgb Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 W Van Buren St, Battle Creek, MI 49017 Phone: 269-964-3830 Fax: 269-964-3833 | |
Christian Counseling Center Of Battle Creek Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 601 S Shore Dr Unit 224, Battle Creek, MI 49014 Phone: 269-979-8119 Fax: 269-979-8124 |