MEDICARE: JESSICA KAY MAYS MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6851092850	MI

General Provider Information

NPI Number	:	1568394245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA KAY MAYS MSW

Provider Business Mailing Address
First Line	:	603 BROWNING AVE
Second Line	:
City	:	MANISTEE
State	:	MI
Zip	:	49660-2803
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 RIVER ST STE 201
Second Line	:
City	:	MANISTEE
State	:	MI
Zip	:	49660-2729
Country	:	US
Telephone Number	:	231-714-0282
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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