Theresa Windham Lmsw Llc - Medicare Mental Health Clinic in Jackson, MI

Theresa Windham Lmsw Llc is a medicare enrolled mental health clinic (Social Worker) in Jackson, Michigan. The current practice location for Theresa Windham Lmsw Llc is 569 Wildwood Ave Unit 1, Jackson, Michigan. For appointments, you can reach them via phone at (517) 798-5555. The mailing address for Theresa Windham Lmsw Llc is Po Box 10, Mason, Michigan and phone number is () -.

Theresa Windham Lmsw Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134769276. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (517) 798-5555.

Contact Information

Theresa Windham Lmsw Llc
569 Wildwood Ave Unit 1
Jackson
MI 49201-1048
(517) 798-5555
Not Available

Mental Health Clinic Profile

Full NameTheresa Windham Lmsw Llc
SpecialitySocial Worker
Location569 Wildwood Ave Unit 1, Jackson, Michigan
Authorized Official Name and PositionMarybeth Houpt (CREDENTIALING)
Authorized Official Contact5176769797
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theresa Windham Lmsw Llc
Po Box 10
Mason
MI 48854-0010

Ph: () -
Theresa Windham Lmsw Llc
569 Wildwood Ave Unit 1
Jackson
MI 49201-1048

Ph: (517) 798-5555

NPI Details:

NPI Number1134769276
Provider Enumeration Date01/07/2020
Last Update Date04/03/2023
Certification Date04/03/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0244666360
Medicare Enrollment IDO20200210001920

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Medical Identifiers

Medical identifiers for Theresa Windham Lmsw Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134769276NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
104100000XSocial Worker (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Theresa Windham Lmsw Llc acts as a billing entity for following providers:
Provider NameTheresa Lmsw Windham
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841657772
PECOS PAC ID: 8921371055
Enrollment ID: I20170912000445

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