Mercedes Erica Emard, LLBSW

Individual provider Active NPI Clinical Social Worker · Houghton Lake, MI

NPI 1265248231 · NPPES record last updated Dec 5, 2024

Key facts

NPI
1265248231
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6852094083 (MI)
Practice address
2715 S Townline Rd
Houghton Lake, MI 48629-9294
Phone
(989) 302-8116
NPI assigned
Dec 5, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6852094083MIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6852094083 MI Yes

Addresses

Primary practice location

2715 S Townline Rd
Houghton Lake, MI 48629-9294

Mailing address

2715 S Townline Rd
Houghton Lake, MI 48629-9294
Phone (231) 920-0702

Other providers in Houghton Lake, MI

All providers in Houghton Lake, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.