| Norserv Group Ltd | |
|
1322 North River Road Norserv Group Ltd St Clair MI 48079 | |
| (810) 329-4798 | |
| (810) 329-7303 |
| Full Name | Norserv Group Ltd |
|---|---|
| Speciality | Counselor |
| Location | 1322 North River Road, St Clair, Michigan |
| Authorized Official Name and Position | Jeffrey Robert Fraser (PRESIDENT) |
| Authorized Official Contact | 8103294798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norserv Group Ltd 1322 North River Road Norserv Group Ltd St Clair MI 48079 Ph: (810) 329-4798 | Norserv Group Ltd 1322 North River Road Norserv Group Ltd St Clair MI 48079 Ph: (810) 329-4798 |
| NPI Number | 1619934650 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 07/19/2010 |
| Medicare PECOS PAC ID | 3577460047 |
|---|---|
| Medicare Enrollment ID | O20031215000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619934650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michael G Yachcik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427120955 PECOS PAC ID: 2567485436 Enrollment ID: I20060105000739 |
| Provider Name | Cynthia D Wilcome |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457312415 PECOS PAC ID: 8729158746 Enrollment ID: I20080603000525 |
| Provider Name | Adele M Beischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588625222 PECOS PAC ID: 8426243866 Enrollment ID: I20101111000710 |
| Provider Name | Courtney R Eveningred |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639400351 PECOS PAC ID: 5991959967 Enrollment ID: I20130129000646 |
| Provider Name | Sherry A Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104887140 PECOS PAC ID: 8123932548 Enrollment ID: I20180530000694 |
| Provider Name | Kristen L Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356727036 PECOS PAC ID: 8628324910 Enrollment ID: I20180628001168 |
| Provider Name | Brian S Fanion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013223775 PECOS PAC ID: 3971857335 Enrollment ID: I20181121001800 |
| Provider Name | Abbigail Vargo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770001273 PECOS PAC ID: 1153758297 Enrollment ID: I20200302000329 |
| Provider Name | Samantha Lmsw Morawa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245680560 PECOS PAC ID: 6204245749 Enrollment ID: I20210512003071 |
| Provider Name | Ann M Kuecken |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437481785 PECOS PAC ID: 9739596883 Enrollment ID: I20240212000755 |