Unknown Individual – Clinical Social Worker, NPI 1972693604
Clinical Social Worker
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5434 FERN AVE
GRAND BLANC, MI 484394320
Phone: (810) 695-4312
Type: Mailing
2360, North Linden Road, Flint Township, Genesee County, Michigan, 48504, United States
SUITE 300
FLINT, MI 485325420
Phone: (810) 732-0560
Fax: (810) 732-6351
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 174 | 16 | $0 |
Insurance plans in this area (ZIP 48439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| - | OR | |
| Clinical Social Worker | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | PA | |
| - | MI | |
| - | MI |
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