| Sherry R Scott | |
|
21323 Harper Ave Saint Clair Shores MI 48080-2224 | |
| (586) 738-4374 | |
| Not Available |
| Full Name | Sherry R Scott |
|---|---|
| Speciality | Social Worker |
| Location | 21323 Harper Ave, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Sherry Regina Scott (CEO) |
| Authorized Official Contact | 5867384374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherry R Scott 16021 Dugan St Roseville MI 48066-1480 Ph: (586) 738-4374 | Sherry R Scott 21323 Harper Ave Saint Clair Shores MI 48080-2224 Ph: (586) 738-4374 |
| NPI Number | 1659923159 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 07/30/2023 |
| Certification Date | 07/30/2023 |
| Medicare PECOS PAC ID | 1456761477 |
|---|---|
| Medicare Enrollment ID | O20201103001710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659923159 | NPI | - | NPPES |
| 1245671312 | Medicaid | MI | |
| 6801115505 | Medicaid | MI |
| Provider Name | Carla Marquita Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841230745 PECOS PAC ID: 1951202431 Enrollment ID: I20040116001006 |
| Provider Name | Jedonna L Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215195805 PECOS PAC ID: 8224199609 Enrollment ID: I20081203000630 |
| Provider Name | Sherry Regina Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245671312 PECOS PAC ID: 1355673690 Enrollment ID: I20201021002582 |
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