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Susan Davenport-Geer

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Susan Davenport-Geer does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1629275144
Provider Type
Individual
Full Name
Davenport-Geer, Susan
Title
Ms.
Credential
LMSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/28/2007
Last Updated
7/8/2007

Contact Information

Practice Location

111 N 1st St, Ann Arbor, MI 48104-1397

(734) 572-9837

Unlisted Fax

Mailing Location

111 N 1st St, Ann Arbor, MI 48104-1397

(734) 572-9837

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801020189 Michigan

Provider Identifiers

ID	Description	Issuer
ID 37040	Description Medicaid	Issuer Unlisted Michigan

Susan Davenport-Geer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Richter, Melissa Kaye

Kelly A Grocoff Llc

Gault, Cynthia J.

Saie, Lindsay

Sarah Talgo Therapy Llc

Mickey Agoglia, Lmsw, Llc

Keehn, Debra

Payne, Thomas Preston

Saniyah, Myra

Pershing, Amy Theresa