| Lake Michigan Counseling Services | |
|
7700 Forest Ct Ne Rockford MI 49341-8114 | |
| (616) 822-2263 | |
| Not Available |
| Full Name | Lake Michigan Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 7700 Forest Ct Ne, Rockford, Michigan |
| Authorized Official Name and Position | Lindsey Brace (FOUNDER) |
| Authorized Official Contact | 6168222263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Michigan Counseling Services 7700 Forest Ct Ne Rockford MI 49341-8114 Ph: (616) 822-2263 | Lake Michigan Counseling Services 7700 Forest Ct Ne Rockford MI 49341-8114 Ph: (616) 822-2263 |
| NPI Number | 1174134654 |
|---|---|
| Provider Enumeration Date | 08/10/2020 |
| Last Update Date | 09/21/2020 |
| Certification Date | 09/21/2020 |
| Medicare PECOS PAC ID | 9537589593 |
|---|---|
| Medicare Enrollment ID | O20201014000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174134654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kaili Diana Ball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184011207 PECOS PAC ID: 7618241712 Enrollment ID: I20170927002542 |
| Provider Name | Lindsey J Brace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760993091 PECOS PAC ID: 6901172303 Enrollment ID: I20171031001537 |
| Provider Name | Marci F Gleason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972057081 PECOS PAC ID: 2365789526 Enrollment ID: I20190125000176 |
| Provider Name | Nancy J Meyering-zerns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932703758 PECOS PAC ID: 7911311097 Enrollment ID: I20210201002145 |
| Provider Name | Juna K Killion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356705271 PECOS PAC ID: 5294139176 Enrollment ID: I20210816000238 |
| Provider Name | Daniel Newberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780236927 PECOS PAC ID: 5092106872 Enrollment ID: I20220105002191 |
| Provider Name | Jennifer Derwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407391030 PECOS PAC ID: 1456732585 Enrollment ID: I20220720001331 |
| Provider Name | Cadi Palmreuter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871117317 PECOS PAC ID: 9234593054 Enrollment ID: I20230913000467 |
| Provider Name | Brianna Watts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346721461 PECOS PAC ID: 3173969359 Enrollment ID: I20240311000829 |
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