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Isabel Riley Max

Social Worker

Behavioral Health & Social Service Providers

22170 W 9 Mile Rd, Southfield, MI 48033-6007

PECOS Enrollment

This provider is enrolled in PECOS as ISABEL MAX.

Based on the most recent information from CMS, provider Isabel Riley Max is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1811570591
Provider Type
Individual
Full Name
Max, Isabel Riley
Credential
LMSW

Sole Proprietor
No
Enumeration Date
4/30/2021
Last Updated
11/22/2024

Contact Information

Practice Location

22170 W 9 Mile Rd, Southfield, MI 48033-6007

(248) 372-6800

Unlisted Fax

Mailing Location

16174 Cheyenne St, Detroit, MI 48235-4218

(313) 310-6711

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801119228 Michigan
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License 6851109878 Michigan

Isabel Riley Max

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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