William Atchison, LMSW, ACSW

Individual provider Active NPI Clinical Social Worker · Flint, MI

NPI 1811904360 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1811904360
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801004778 (MI)
Practice address
4414 Lennon Rd
Flint, MI 48507-1029
Phone
(810) 230-7100
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6801004778MIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801004778 MI Yes

Addresses

Primary practice location

4414 Lennon Rd
Flint, MI 48507-1029

Mailing address

PO Box 320650
Flint, MI 48532-0012
Phone (810) 230-7100

Other identifiers

IdentifierTypeStateIssuer
158900OtherMIBLUE CARE NETWORK
P208902260OtherMIBCBSM INDIVIDUAL PIN
158900OtherMIVALUE OPTONS
1002818OtherMIMCLAREN
0007414068OtherMIAETNA
40355OtherMICIGNA
158900OtherMIMHS
22963900OtherMIMAGELLAN
P20890226OtherMIHEALTH PLUS

Other providers in Flint, MI

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

Sources for this page

Verify at the official NPI Registry.