| Mcdowell Healing Arts Center Llc | |
|
3253 Congress Ave Saginaw MI 48602-3106 | |
| (989) 475-4171 | |
| (989) 393-6021 |
| Full Name | Mcdowell Healing Arts Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3253 Congress Ave, Saginaw, Michigan |
| Authorized Official Name and Position | Melvin Charles Mcdowell (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9894754171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcdowell Healing Arts Center Llc Po Box 272 Carrollton MI 48724-0272 Ph: (989) 475-4171 | Mcdowell Healing Arts Center Llc 3253 Congress Ave Saginaw MI 48602-3106 Ph: (989) 475-4171 |
| NPI Number | 1669839338 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 09/06/2021 |
| Certification Date | 09/06/2021 |
| Medicare PECOS PAC ID | 2567767544 |
|---|---|
| Medicare Enrollment ID | O20160301000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669839338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelly Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972644029 PECOS PAC ID: 5698091478 Enrollment ID: I20150313002034 |
| Provider Name | Lindsey Derousse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154728889 PECOS PAC ID: 0143548867 Enrollment ID: I20150409000867 |
| Provider Name | Twannie L Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750619599 PECOS PAC ID: 9032414008 Enrollment ID: I20160302002806 |
| Provider Name | Kasie Marie Nickel-white |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891092326 PECOS PAC ID: 8729334990 Enrollment ID: I20180629001711 |
| Provider Name | Amber Joy Kochanny-sheck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821580291 PECOS PAC ID: 0345666582 Enrollment ID: I20200818002400 |
| Provider Name | Jenny Leigh Schmitzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891286902 PECOS PAC ID: 5597147678 Enrollment ID: I20220805001942 |
| Provider Name | Jacharri Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821579616 PECOS PAC ID: 9133504103 Enrollment ID: I20220913000711 |
| Provider Name | Jazmine Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598383440 PECOS PAC ID: 5799151577 Enrollment ID: I20221019001615 |
| Provider Name | Destiny Rose Uhrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184205015 PECOS PAC ID: 2365803855 Enrollment ID: I20230731003829 |
| Provider Name | Tyler Douglas Hobbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760029854 PECOS PAC ID: 9234589672 Enrollment ID: I20231227000688 |
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