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Jordyn Elizabeth Cook, LLBSW

Individual provider Active NPI Case Manager/Care Coordinator · Kawkawlin, MI

NPI 1366129397 · NPPES record last updated Jun 30, 2023

Key facts

NPI
1366129397
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
6852093716 (MI)
Practice address
1961 Parish Rd
Kawkawlin, MI 48631-9459
Phone
(989) 684-2531
NPI assigned
Jun 30, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
6852093716MIMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Bay-Arenac Behavioral Health Current
since Jul 2, 2023		 Accepting new patients

Locations

201 Mulholland St
Bay City, MI 48708
Phone (989) 895-2222

1961 Parish Rd
Kawkawlin, MI 48631
Phone (989) 684-2531

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 6852093716 MI Yes

Addresses

Primary practice location

1961 Parish Rd
Kawkawlin, MI 48631-9459

Mailing address

201 Mulholland St
Bay City, MI 48708-7693
Phone (989) 895-2300

Other providers in Kawkawlin, MI

All providers in Kawkawlin, MI · Case Manager/Care Coordinator in Michigan

Sources for this page

Verify at the official NPI Registry.