MEDICARE: MS. THALIA MARIE FERENC L.M.S.W.

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	6801059745	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11573200	OTHER	MI	CAQH

General Provider Information

NPI Number	:	1831309392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. THALIA MARIE FERENC L.M.S.W.

Provider Business Mailing Address
First Line	:	6127 BAY SHORE WEST DR
Second Line	:
City	:	CHARLEVOIX
State	:	MI
Zip	:	49720-9173
Country	:	US
Telephone Number	:	231-838-2322
Fax Number	:	231-622-8126

Provider Business Practice Location Address
First Line	:	6127 BAY SHORE WEST DR
Second Line	:
City	:	CHARLEVOIX
State	:	MI
Zip	:	49720-9173
Country	:	US
Telephone Number	:	231-838-2322
Fax Number	:	231-622-8126

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	02/02/2019

Similar Medicare Providers

1538633821 — THALIA FERENC LLC
Practice Location Address:

6127 BAY SHORE WEST DR
CHARLEVOIX, MI
49720-9173

Practice Phone: 231-838-2322
Practice Fax: 231-622-8126

1538151212 — DR. RODERIC E TINNEY M.D.
Practice Location Address:

14734 PARK AVE
CHARLEVOIX, MI
49720-1927

Practice Phone: 231-547-6554
Practice Fax: 231-547-1179

1306838081 — DR. DANIEL M MANN M.D.
Practice Location Address:

14734 PARK AVE
CHARLEVOIX, MI
49720-1927

Practice Phone: 231-547-6554
Practice Fax: 231-547-1179

1851383533 — DR. JOSHUA R MEYERSON M.D.
Practice Location Address:

220 W GARFIELD AVE
CHARLEVOIX, MI
49720-1631

Practice Phone: 231-547-6523
Practice Fax: 231-547-6238

1750373437 — DR. EDWARD E NEWCOMB M.D.
Practice Location Address:

14705 W UPRIGHT ST
CHARLEVOIX, MI
49720-1949

Practice Phone: 231-547-1308
Practice Fax: 231-392-7332

1659363299 — DR. MELODIE R BROWN M.D.
Practice Location Address:

14705 W UPRIGHT ST
CHARLEVOIX, MI
49720-1949

Practice Phone: 231-547-1308
Practice Fax: 231-392-7332

Directions to “ MS. THALIA MARIE FERENC L.M.S.W.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.