Amy Theresa Pershing | Ann Arbor, MI • PECOS Search

Amy Theresa Pershing

Social Worker

Behavioral Health & Social Service Providers

111 N 1st St, Suite #2, Ann Arbor, MI 48104-1397

PECOS Enrollment

Based on the most recent information from CMS, provider Amy Theresa Pershing 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
1699826248
Provider Type
Individual
Full Name
Pershing, Amy Theresa
Title
Ms.
Credential
MSW, LMSW, ACSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/12/2007
Last Updated
7/8/2007

Contact Information

Practice Location

111 N 1st St, Suite #2, Ann Arbor, MI 48104-1397

Unlisted Fax

Mailing Location

111 N 1st St, Suite #2, Ann Arbor, MI 48104-1397

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801065905 Michigan