Gary Brian Hornfeld, MSW

Individual provider Active NPI Clinical Social Worker · Saginaw, MI

NPI 1710036637 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1710036637
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801013540 (MI)
Practice address
6655 Davis Rd
Saginaw, MI 48604-9747
Phone
(989) 753-8031
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120918000120 MI Practitioner - Clinical Social Worker 5294983219 Practice locations: Saginaw, MI

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801013540 MI Yes

Addresses

Primary practice location

6655 Davis Rd
Saginaw, MI 48604-9747

Mailing address

6655 Davis Rd
Saginaw, MI 48604-9747
Phone (989) 753-8031

Other providers in Saginaw, MI

All providers in Saginaw, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.