Jacquelyne Ann Carter | Southfield, MI • PECOS Search

Jacquelyne Ann Carter

Social Worker

Behavioral Health & Social Service Providers

23999 W 10 Mile Rd # 220, Southfield, MI 48033-3158

PECOS Enrollment

Based on the most recent information from CMS, provider Jacquelyne Ann Carter 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 11:21 AM.

Profile Details

Provider ID
1811616006
Provider Type
Individual
Full Name
Carter, Jacquelyne Ann
Title
Ms.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/23/2022
Last Updated
8/23/2022

Contact Information

Practice Location

23999 W 10 Mile Rd # 220, Southfield, MI 48033-3158

Unlisted Fax

Mailing Location

23999 W 10 Mile Rd Ste 220, Southfield, MI 48033-3158

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer