Pine Rest Christian Mental Health Services | |
300 68th St Se Grand Rapids MI 49548-6927 | |
(616) 455-5000 | |
Not Available |
Full Name | Pine Rest Christian Mental Health Services |
---|---|
Speciality | Social Worker |
Location | 300 68th St Se, Grand Rapids, Michigan |
Authorized Official Name and Position | Diane Fennema (MANAGED CARE ADMINISTRATOR) |
Authorized Official Contact | 6162816372 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pine Rest Christian Mental Health Services 300 68th St Se Grand Rapids MI 49548-6927 Ph: (616) 455-5000 | Pine Rest Christian Mental Health Services 300 68th St Se Grand Rapids MI 49548-6927 Ph: (616) 455-5000 |
NPI Number | 1922019157 |
---|---|
Provider Enumeration Date | 08/11/2006 |
Last Update Date | 11/04/2020 |
Certification Date | 11/04/2020 |
Medicare PECOS PAC ID | 4981506508 |
---|---|
Medicare Enrollment ID | O20040123000787 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922019157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Timothy E Bozung |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285802173 PECOS PAC ID: 3072508118 Enrollment ID: I20040417000327 |
Provider Name | Karen R Thompson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710071584 PECOS PAC ID: 0446249528 Enrollment ID: I20040512000770 |
Provider Name | Trina S Crowe |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275641805 PECOS PAC ID: 3072595875 Enrollment ID: I20040604000595 |
Provider Name | Sue E Eastman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457578072 PECOS PAC ID: 2860460631 Enrollment ID: I20040920000677 |
Provider Name | Ryan P Larue |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902904188 PECOS PAC ID: 7719946912 Enrollment ID: I20041004001128 |
Provider Name | Jacqueline M Miller-snell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447396171 PECOS PAC ID: 2567422462 Enrollment ID: I20041014001071 |
Provider Name | Lee C Deckrow |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891800868 PECOS PAC ID: 0143287086 Enrollment ID: I20041213000735 |
Provider Name | Julie Ann Lasky Albright |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689727190 PECOS PAC ID: 7012966112 Enrollment ID: I20050114000841 |
Provider Name | Renee M Belkin Lang |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568577781 PECOS PAC ID: 1557314697 Enrollment ID: I20050301000269 |
Provider Name | Kymbra R Hansen Duell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124124060 PECOS PAC ID: 3870549777 Enrollment ID: I20050323001284 |
Provider Name | Vickie M Hinshaw |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861435398 PECOS PAC ID: 7113973637 Enrollment ID: I20050329000362 |
Provider Name | Sharita M Hall |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386738953 PECOS PAC ID: 8426086117 Enrollment ID: I20050803000360 |
Provider Name | Nancy L Hart |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285720086 PECOS PAC ID: 4789617614 Enrollment ID: I20050913000028 |
Provider Name | Maryanne Louise Kowalski |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487736005 PECOS PAC ID: 2264459924 Enrollment ID: I20051101000644 |
Provider Name | Patrice L Jonker |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922164938 PECOS PAC ID: 7315953775 Enrollment ID: I20060223000016 |
Provider Name | Penelope Elaine Spencer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043384175 PECOS PAC ID: 5597771238 Enrollment ID: I20060303000576 |
Provider Name | Randall Estes |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689625238 PECOS PAC ID: 4385656529 Enrollment ID: I20060707000013 |
Provider Name | Sherry L France |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164586095 PECOS PAC ID: 6002818747 Enrollment ID: I20070208000251 |
Provider Name | David P Agee |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649319849 PECOS PAC ID: 9638272669 Enrollment ID: I20070313000363 |
Provider Name | Gary L Bonn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831199678 PECOS PAC ID: 2365546363 Enrollment ID: I20070402000075 |
Provider Name | Susan Lynn Allred |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396874988 PECOS PAC ID: 3577668979 Enrollment ID: I20070413000077 |
Provider Name | Kevin H Neuman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407930175 PECOS PAC ID: 6901901214 Enrollment ID: I20070416000301 |
Provider Name | Sara R Gee |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386858520 PECOS PAC ID: 9739288648 Enrollment ID: I20070618000449 |
Provider Name | Jessaca J Wan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437223401 PECOS PAC ID: 0244324473 Enrollment ID: I20070919000586 |
Provider Name | Katherine A Devries |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841364924 PECOS PAC ID: 1658465596 Enrollment ID: I20070921000746 |
Provider Name | Ryanne L Neuman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598830192 PECOS PAC ID: 7012004997 Enrollment ID: I20071025000255 |
Provider Name | Case Schipper |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992896195 PECOS PAC ID: 8820185192 Enrollment ID: I20071102000306 |
Provider Name | Mariah L Deyoung |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447342019 PECOS PAC ID: 2163512047 Enrollment ID: I20071214000698 |
Provider Name | Jenna C Strodtbeck |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811078736 PECOS PAC ID: 1456434810 Enrollment ID: I20080208000366 |
Provider Name | Brooke L Clifton |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588849640 PECOS PAC ID: 9739262015 Enrollment ID: I20080208000509 |
Provider Name | Michael J Reiffer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992984058 PECOS PAC ID: 9436228442 Enrollment ID: I20080516000461 |
Provider Name | Amy L Vandentoorn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134386931 PECOS PAC ID: 6002988433 Enrollment ID: I20080630000688 |
Provider Name | Shelley R Tindall |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093863243 PECOS PAC ID: 1951477611 Enrollment ID: I20080903000294 |
Provider Name | Susan M Hunt |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720164262 PECOS PAC ID: 4688740707 Enrollment ID: I20080913000032 |
Provider Name | Casey C Myers |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871758581 PECOS PAC ID: 8325108210 Enrollment ID: I20081121000652 |
Provider Name | Jerrien D Bonnema |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952554339 PECOS PAC ID: 6002976636 Enrollment ID: I20081126000503 |
Provider Name | Rebecca M Doane |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235391939 PECOS PAC ID: 9133280779 Enrollment ID: I20081202000142 |
Provider Name | Robert T Stephans |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427171420 PECOS PAC ID: 1557425220 Enrollment ID: I20090123000432 |
Provider Name | Stacey Dawn Williamson Nichols |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508945577 PECOS PAC ID: 7214089119 Enrollment ID: I20090723000017 |
Provider Name | Debra A Broughman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831226216 PECOS PAC ID: 3678626124 Enrollment ID: I20090730000249 |
Provider Name | Jeanne L Stark |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194886846 PECOS PAC ID: 3072667039 Enrollment ID: I20090811000351 |
Provider Name | Sara E Vandebyl |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427202704 PECOS PAC ID: 4183761844 Enrollment ID: I20091028000770 |
Provider Name | Karin A Kennedy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770681041 PECOS PAC ID: 9335283936 Enrollment ID: I20100220000152 |
Provider Name | Nicholas Deboer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780799668 PECOS PAC ID: 9032244355 Enrollment ID: I20100311000901 |
Provider Name | Jennifer R Bevington |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407906753 PECOS PAC ID: 2365579273 Enrollment ID: I20100426000330 |
Provider Name | Karen E Newton-norder |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073673513 PECOS PAC ID: 9739217381 Enrollment ID: I20100503000472 |
Provider Name | Gordon J Veeneman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144319146 PECOS PAC ID: 7810020179 Enrollment ID: I20100806000428 |
Provider Name | Rhonda L Brink |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891800199 PECOS PAC ID: 3779616032 Enrollment ID: I20100806000506 |
Provider Name | Larry A Vander Plaats |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144312828 PECOS PAC ID: 5193858462 Enrollment ID: I20100806000558 |
Provider Name | Cynthia J Freeney |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245346550 PECOS PAC ID: 1355474628 Enrollment ID: I20100806000573 |
Provider Name | Rafael Caldas |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609981521 PECOS PAC ID: 1254464555 Enrollment ID: I20100806000860 |
Provider Name | Jennifer W Kates |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659688232 PECOS PAC ID: 9931225885 Enrollment ID: I20100928001212 |
Provider Name | Shelly J Marinus |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366549156 PECOS PAC ID: 5092900423 Enrollment ID: I20101111000658 |
Provider Name | Matt D Jachalke |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306833439 PECOS PAC ID: 0749476083 Enrollment ID: I20101129000246 |
Provider Name | Lisa J Griffin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598765992 PECOS PAC ID: 7911193198 Enrollment ID: I20101130000888 |
Provider Name | Darrell A Gritter |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790890648 PECOS PAC ID: 4082801741 Enrollment ID: I20101207000436 |
Provider Name | Anne M Williamson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245569185 PECOS PAC ID: 2062609647 Enrollment ID: I20101208000718 |
Provider Name | Thomas W Graham |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295771640 PECOS PAC ID: 2860689254 Enrollment ID: I20101210000685 |
Provider Name | Shannon L Thompson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659462729 PECOS PAC ID: 6901095470 Enrollment ID: I20110114000029 |
Provider Name | Carol J Bosch |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346336104 PECOS PAC ID: 6204015332 Enrollment ID: I20110121000454 |
Provider Name | Elizabeth B Walter Rooks |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720190341 PECOS PAC ID: 2062693211 Enrollment ID: I20110222000674 |
Provider Name | Carol B Rich |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457578130 PECOS PAC ID: 9638351141 Enrollment ID: I20110304000223 |
Provider Name | Annie M Yakes |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497058820 PECOS PAC ID: 7911180658 Enrollment ID: I20110317000851 |
Provider Name | Rhonda S Broek |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982907648 PECOS PAC ID: 7315120433 Enrollment ID: I20110328000709 |
Provider Name | Tracy L Nykamp |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720263247 PECOS PAC ID: 8628255213 Enrollment ID: I20110608000226 |
Provider Name | Michelle L Martin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215162722 PECOS PAC ID: 7416135983 Enrollment ID: I20110705000244 |
Provider Name | Jodi Brooke Neumann |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346444643 PECOS PAC ID: 0143493296 Enrollment ID: I20111104000526 |
Provider Name | Sara N Patzer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346523131 PECOS PAC ID: 7012181811 Enrollment ID: I20111112000077 |
Provider Name | Tanya M Vanderveen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104193259 PECOS PAC ID: 6507033743 Enrollment ID: I20120111000735 |
Provider Name | Stephanie J Zwart |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568743607 PECOS PAC ID: 4981871688 Enrollment ID: I20120120000564 |
Provider Name | Nancy L Hale-dickson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407940992 PECOS PAC ID: 2264691658 Enrollment ID: I20120303000025 |
Provider Name | Kelly S Boprie |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023307337 PECOS PAC ID: 3173783115 Enrollment ID: I20120328000536 |
Provider Name | Todd L Monroe |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992073266 PECOS PAC ID: 0547420515 Enrollment ID: I20120328000868 |
Provider Name | Teresa Marie Cieslinski |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538269055 PECOS PAC ID: 4880857135 Enrollment ID: I20120523000578 |
Provider Name | Jennifer Michalak |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487923850 PECOS PAC ID: 4284898511 Enrollment ID: I20120615000589 |
Provider Name | Timothy S Sayers |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104184498 PECOS PAC ID: 5294990180 Enrollment ID: I20120627000117 |
Provider Name | Tracey M Gort |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285994178 PECOS PAC ID: 8921263682 Enrollment ID: I20120702000111 |
Provider Name | Sharon K Music |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942576541 PECOS PAC ID: 3173788635 Enrollment ID: I20120723000396 |
Provider Name | Tonya J Dutton |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225383474 PECOS PAC ID: 5294981064 Enrollment ID: I20120809000698 |
Provider Name | Kim L Williams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346422656 PECOS PAC ID: 7113173865 Enrollment ID: I20120810000816 |
Provider Name | Melody J Edwards |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023388238 PECOS PAC ID: 0446496442 Enrollment ID: I20130417000643 |
Provider Name | Reynelda A Jones |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780997007 PECOS PAC ID: 3072753839 Enrollment ID: I20130628000383 |
Provider Name | Daniel C Bethel |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386984227 PECOS PAC ID: 7214178557 Enrollment ID: I20130729000578 |
Provider Name | Mary C Ivie-scoggins |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891015509 PECOS PAC ID: 9830324193 Enrollment ID: I20131023000890 |
Provider Name | Kayla M Belasco |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790121556 PECOS PAC ID: 8325274756 Enrollment ID: I20131113001484 |
Provider Name | Carrie F Pebley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417291436 PECOS PAC ID: 1355577016 Enrollment ID: I20131202001375 |
Provider Name | James P Fongers |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235458878 PECOS PAC ID: 9436387305 Enrollment ID: I20140123000275 |
Provider Name | Michelle C Heslinga |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205118957 PECOS PAC ID: 7012146053 Enrollment ID: I20140214000962 |
Provider Name | Douglas W Cushman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063574077 PECOS PAC ID: 8022248566 Enrollment ID: I20140303001662 |
Provider Name | Candy S Mckenney |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003245408 PECOS PAC ID: 7911138631 Enrollment ID: I20140322000252 |
Provider Name | Christina L White |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588814123 PECOS PAC ID: 1153554761 Enrollment ID: I20140506002123 |
Provider Name | Ria Nieboer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629356175 PECOS PAC ID: 9436382983 Enrollment ID: I20140507001492 |
Provider Name | Patrice M Cisco |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831388586 PECOS PAC ID: 1456574664 Enrollment ID: I20140515000988 |
Provider Name | Tahleekah Partee |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700157005 PECOS PAC ID: 9830313287 Enrollment ID: I20140605000647 |
Provider Name | Ruqaiyah S Rogers |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003236662 PECOS PAC ID: 1254556657 Enrollment ID: I20140626002220 |
Provider Name | Kathy A Carruthers |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720340367 PECOS PAC ID: 9032336862 Enrollment ID: I20140819000218 |
Provider Name | Jessica M Switek |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982013645 PECOS PAC ID: 9537381801 Enrollment ID: I20141121000718 |
Provider Name | Cherie M Keating |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922359710 PECOS PAC ID: 8921322306 Enrollment ID: I20150112002087 |
Provider Name | Bambi A Lahaie |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275751406 PECOS PAC ID: 1759605579 Enrollment ID: I20150126001676 |
Provider Name | James D Domagala |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831580844 PECOS PAC ID: 2466779715 Enrollment ID: I20150325000937 |
Provider Name | Kathleen R Everitt |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841677895 PECOS PAC ID: 7810217981 Enrollment ID: I20150514000159 |
Provider Name | Christine A Mushlock |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245578590 PECOS PAC ID: 9638499577 Enrollment ID: I20150518000987 |
Provider Name | Carey A Cutcher |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326305871 PECOS PAC ID: 6800101528 Enrollment ID: I20150810002536 |
Provider Name | Sarah Exoo |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912259748 PECOS PAC ID: 6204141930 Enrollment ID: I20150810002762 |
Provider Name | Deanna F Omoniyi |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982945101 PECOS PAC ID: 0941515290 Enrollment ID: I20150814013505 |
Provider Name | Ashley Kristin Castro |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821465790 PECOS PAC ID: 6204143688 Enrollment ID: I20150917000341 |
Provider Name | Stacia L Fridley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386933190 PECOS PAC ID: 9537476916 Enrollment ID: I20150917000488 |
Provider Name | Erin K Watson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104262476 PECOS PAC ID: 5395052468 Enrollment ID: I20150922002358 |
Provider Name | Rachel Y Schaedel Patchava |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275901670 PECOS PAC ID: 9739497058 Enrollment ID: I20151006000701 |
Provider Name | Susan M Montroy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366811549 PECOS PAC ID: 8224347810 Enrollment ID: I20151022000118 |
Provider Name | Susan L Littlejohn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588088553 PECOS PAC ID: 7810207792 Enrollment ID: I20151104002311 |
Provider Name | Renae D Amshey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295078814 PECOS PAC ID: 4082915087 Enrollment ID: I20151216002121 |
Provider Name | Michaela L Meier |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134585342 PECOS PAC ID: 4082916663 Enrollment ID: I20160114000140 |
Provider Name | Sarah K Christian |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861711483 PECOS PAC ID: 4880990621 Enrollment ID: I20160304000826 |
Provider Name | Krista Kopchick |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417186818 PECOS PAC ID: 9234428665 Enrollment ID: I20160525000510 |
Provider Name | Grace Rebecca Wenk |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316282023 PECOS PAC ID: 9335431949 Enrollment ID: I20160629002935 |
Provider Name | Luann Arnson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205287752 PECOS PAC ID: 5294028734 Enrollment ID: I20160721001431 |
Provider Name | Joshua A Godfrey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023429198 PECOS PAC ID: 3476846338 Enrollment ID: I20160729001117 |
Provider Name | Christopher John Curry |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659777191 PECOS PAC ID: 0244525707 Enrollment ID: I20160823000682 |
Provider Name | Stephen E Kornoely |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144611666 PECOS PAC ID: 6901192814 Enrollment ID: I20160901000190 |
Provider Name | Emily L White |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699183202 PECOS PAC ID: 9032405220 Enrollment ID: I20160914002717 |
Provider Name | Amanda J Ellison |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558786236 PECOS PAC ID: 6002104791 Enrollment ID: I20161012002241 |
Provider Name | Gordon I Greer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760697643 PECOS PAC ID: 8628357092 Enrollment ID: I20161108001931 |
Provider Name | Kenneth A Garvin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457763385 PECOS PAC ID: 6406135441 Enrollment ID: I20161116000782 |
Provider Name | Angelique S Gierszewski |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639508989 PECOS PAC ID: 5092946202 Enrollment ID: I20161116001071 |
Provider Name | Michele R Silvernail |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134665102 PECOS PAC ID: 1254614654 Enrollment ID: I20170209000764 |
Provider Name | Leah Meiste |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821391566 PECOS PAC ID: 9931482346 Enrollment ID: I20170209001053 |
Provider Name | Susan A Kirt |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962826982 PECOS PAC ID: 9335423235 Enrollment ID: I20170221000430 |
Provider Name | Lindsey N Gagnon |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679838478 PECOS PAC ID: 7315223880 Enrollment ID: I20170418000646 |
Provider Name | Maram Hekhuis |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417358409 PECOS PAC ID: 9133406176 Enrollment ID: I20170501001147 |
Provider Name | Sara Schimpke |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366877110 PECOS PAC ID: 4082981089 Enrollment ID: I20170523001162 |
Provider Name | Brian Kevin Boggiano |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356732606 PECOS PAC ID: 2466729884 Enrollment ID: I20170606000894 |
Provider Name | Desiree M Andersen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487031258 PECOS PAC ID: 9436427903 Enrollment ID: I20170626001276 |
Provider Name | Chelsea M Collins |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114456522 PECOS PAC ID: 6709155401 Enrollment ID: I20170712002192 |
Provider Name | Brooke H Gaddy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174941652 PECOS PAC ID: 5991076044 Enrollment ID: I20170808000660 |
Provider Name | Melanie M Dennison |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861915928 PECOS PAC ID: 4981975034 Enrollment ID: I20170808000698 |
Provider Name | Kelly M Ahti |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982121190 PECOS PAC ID: 8224303953 Enrollment ID: I20171005003569 |
Provider Name | Lindsey J Brace |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760993091 PECOS PAC ID: 6901172303 Enrollment ID: I20171031001537 |
Provider Name | Anupama R Allington |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164856357 PECOS PAC ID: 3779849328 Enrollment ID: I20171114003225 |
Provider Name | Nicole M Kotchka |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528299658 PECOS PAC ID: 3173880119 Enrollment ID: I20171130000828 |
Provider Name | Chantelle M Robbe |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356361521 PECOS PAC ID: 4587923040 Enrollment ID: I20180109002409 |
Provider Name | Sabreen Rae Polavin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073904579 PECOS PAC ID: 2062772387 Enrollment ID: I20180207000435 |
Provider Name | Alison M Ciesa-boomer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396269122 PECOS PAC ID: 4789944018 Enrollment ID: I20180207000500 |
Provider Name | Sarah K Deyoung |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114425584 PECOS PAC ID: 1759641087 Enrollment ID: I20180207000563 |
Provider Name | Mathew J Kosik |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336428879 PECOS PAC ID: 0840550083 Enrollment ID: I20180207001555 |
Provider Name | Estavanica B Ries |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801303904 PECOS PAC ID: 8224399357 Enrollment ID: I20180306000204 |
Provider Name | Michele Jackson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598193773 PECOS PAC ID: 0446512099 Enrollment ID: I20180320002806 |
Provider Name | Elizza B Lejeune |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598157034 PECOS PAC ID: 3476815903 Enrollment ID: I20180322000170 |
Provider Name | Emily Behm Jankowski |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023474988 PECOS PAC ID: 3375805666 Enrollment ID: I20180327000165 |
Provider Name | Calvin M Meuzelaar |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013952167 PECOS PAC ID: 7618860826 Enrollment ID: I20180327000348 |
Provider Name | Keri S Debruin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396136958 PECOS PAC ID: 4880956192 Enrollment ID: I20180327000820 |
Provider Name | Thomas Daniel Jachulski |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508255001 PECOS PAC ID: 3870857717 Enrollment ID: I20180501001827 |
Provider Name | Janet C Goldner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336636505 PECOS PAC ID: 6608131248 Enrollment ID: I20180531000743 |
Provider Name | Jessica Lynn Vandentoorn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861987216 PECOS PAC ID: 9335496751 Enrollment ID: I20180717001583 |
Provider Name | Kurt A Hulst |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568841989 PECOS PAC ID: 2769739184 Enrollment ID: I20180717001704 |
Provider Name | Molly R Cohn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043601776 PECOS PAC ID: 2062769417 Enrollment ID: I20180717002906 |
Provider Name | Adelyn D Wooden |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205330057 PECOS PAC ID: 2961765888 Enrollment ID: I20180830002905 |
Provider Name | Meredith E Mockabee |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275011264 PECOS PAC ID: 3678823861 Enrollment ID: I20180910001594 |
Provider Name | Jennifer L Wyn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497208664 PECOS PAC ID: 1557605474 Enrollment ID: I20181204002451 |
Provider Name | Sally J Verstraete |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568931392 PECOS PAC ID: 3870838048 Enrollment ID: I20181215000340 |
Provider Name | Patricia L Diekema |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700272747 PECOS PAC ID: 9436495975 Enrollment ID: I20190104000451 |
Provider Name | Kerri F Kuis |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467895698 PECOS PAC ID: 3678819604 Enrollment ID: I20190114000673 |
Provider Name | Marci F Gleason |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972057081 PECOS PAC ID: 2365789526 Enrollment ID: I20190125000176 |
Provider Name | Jonathan M Haeffele |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518368646 PECOS PAC ID: 7517205560 Enrollment ID: I20190218000076 |
Provider Name | Sarah J Riemersma |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104076967 PECOS PAC ID: 9436498730 Enrollment ID: I20190305000250 |
Provider Name | Ashley N Sjoerdsma |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639560899 PECOS PAC ID: 6901145960 Enrollment ID: I20190308001988 |
Provider Name | Kathryn Ploeger |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265806780 PECOS PAC ID: 3779823364 Enrollment ID: I20190318002512 |
Provider Name | Susan E Mark |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346607090 PECOS PAC ID: 0749520344 Enrollment ID: I20190318002679 |
Provider Name | Melissa Devroy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073913398 PECOS PAC ID: 1052651601 Enrollment ID: I20190319001940 |
Provider Name | Thomas A Pierce |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740637297 PECOS PAC ID: 5597005595 Enrollment ID: I20190328001062 |
Provider Name | Jennifer Mcvay |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962935965 PECOS PAC ID: 2163762121 Enrollment ID: I20190329000717 |
Provider Name | Ryan L Young |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891131603 PECOS PAC ID: 6901147529 Enrollment ID: I20190409001900 |
Provider Name | Jenna Deanne Lang |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760910624 PECOS PAC ID: 3274867700 Enrollment ID: I20190702003284 |
Provider Name | Jordan K Swan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790207272 PECOS PAC ID: 7618202516 Enrollment ID: I20190715003356 |
Provider Name | Nicole M Schaaf |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194180497 PECOS PAC ID: 9537494281 Enrollment ID: I20190717002176 |
Provider Name | Karen Georgianna O'strander |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194158782 PECOS PAC ID: 3577899293 Enrollment ID: I20190801001784 |
Provider Name | Jennifer M Mitchell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306223284 PECOS PAC ID: 1759618093 Enrollment ID: I20190809001177 |
Provider Name | Trisha R Prickett |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548658958 PECOS PAC ID: 7214267210 Enrollment ID: I20190917003877 |
Provider Name | Amanda Mayo |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578032124 PECOS PAC ID: 1759612740 Enrollment ID: I20191004002055 |
Provider Name | Keigan K Brown-edwards |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548652159 PECOS PAC ID: 6507197795 Enrollment ID: I20191021001035 |
Provider Name | Jenna Mccarthy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922451293 PECOS PAC ID: 0648502484 Enrollment ID: I20191029002022 |
Provider Name | Gregory S Schroeder |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760033070 PECOS PAC ID: 0749512226 Enrollment ID: I20191102000077 |
Provider Name | Ann E Tarr |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205241692 PECOS PAC ID: 2769615012 Enrollment ID: I20191112001410 |
Provider Name | Scott N Jones |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972985067 PECOS PAC ID: 5991137358 Enrollment ID: I20191123000153 |
Provider Name | Kim A Fatato |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477764660 PECOS PAC ID: 3779916242 Enrollment ID: I20191214000323 |
Provider Name | Cristopher C Frank |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619431152 PECOS PAC ID: 1153759428 Enrollment ID: I20200319002404 |
Provider Name | Joyce L Williams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083059141 PECOS PAC ID: 2567891203 Enrollment ID: I20200401002149 |
Provider Name | Kelsey D Wright |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629460191 PECOS PAC ID: 4082043724 Enrollment ID: I20200401002322 |
Provider Name | Jennifer L Victor |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962826537 PECOS PAC ID: 5193156172 Enrollment ID: I20200506002566 |
Provider Name | Amy M Jachalke |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659909109 PECOS PAC ID: 8820429814 Enrollment ID: I20200506002581 |
Provider Name | Jenna L Brackett |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265826069 PECOS PAC ID: 7810328200 Enrollment ID: I20200519003219 |
Provider Name | Judith A Patania |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760895098 PECOS PAC ID: 9830515154 Enrollment ID: I20200818001426 |
Provider Name | Melissa A Arbanas |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629597620 PECOS PAC ID: 2860818028 Enrollment ID: I20200818003130 |
Provider Name | Margaux T Lafave |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679951446 PECOS PAC ID: 4587080742 Enrollment ID: I20200818003274 |
Provider Name | Sarah Hewson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184117632 PECOS PAC ID: 3375960529 Enrollment ID: I20200902000999 |
Provider Name | Rachael M Kohler |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598274573 PECOS PAC ID: 5395163893 Enrollment ID: I20200915003459 |
Provider Name | Jean M Holthaus |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992733182 PECOS PAC ID: 9335263946 Enrollment ID: I20200921001328 |
Provider Name | Justin Hutchison |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184180804 PECOS PAC ID: 4183036213 Enrollment ID: I20201215001589 |
Provider Name | Linda W Faust |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528660198 PECOS PAC ID: 0446662480 Enrollment ID: I20201215002084 |
Provider Name | Michelle E Shuneson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255722609 PECOS PAC ID: 0446663421 Enrollment ID: I20210112002146 |
Provider Name | Amanda M Hartman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265918528 PECOS PAC ID: 8325452071 Enrollment ID: I20210121000444 |
Provider Name | Jillian Murray |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003109505 PECOS PAC ID: 4688080427 Enrollment ID: I20210303000387 |
Provider Name | Jessica Kamyszek |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649667205 PECOS PAC ID: 7214343672 Enrollment ID: I20210309002615 |
Provider Name | Joel C. Arnold |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447714845 PECOS PAC ID: 1355758939 Enrollment ID: I20210326000647 |
Provider Name | Adam D Swendroski |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437615713 PECOS PAC ID: 0244648111 Enrollment ID: I20210413001940 |
Provider Name | Paul D Hillebrand |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851722813 PECOS PAC ID: 9537578075 Enrollment ID: I20210512002765 |
Provider Name | Abby A Phillips |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063094936 PECOS PAC ID: 5294134177 Enrollment ID: I20210526000124 |
Provider Name | Sandra R Binnendyk |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437733102 PECOS PAC ID: 4183023070 Enrollment ID: I20210526000588 |
Provider Name | Arleigh-anne Holzgen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043743040 PECOS PAC ID: 7113322041 Enrollment ID: I20210816002422 |
Provider Name | Jessica L Sevic |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902322308 PECOS PAC ID: 4385049212 Enrollment ID: I20210816002497 |
Provider Name | Kathrin P Foreman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386999449 PECOS PAC ID: 6507261815 Enrollment ID: I20210825001757 |
Provider Name | Adraya G Garrett |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316568850 PECOS PAC ID: 3577969906 Enrollment ID: I20210909001944 |
Provider Name | Anna E Allington |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649661422 PECOS PAC ID: 7719383850 Enrollment ID: I20210915000498 |
Provider Name | Alexandra Lipinski |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245899392 PECOS PAC ID: 9133526528 Enrollment ID: I20210928001839 |
Provider Name | Jamie L Luttrell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770974362 PECOS PAC ID: 0749688810 Enrollment ID: I20211005001465 |
Provider Name | Brianna G Woodard |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346779329 PECOS PAC ID: 7012315518 Enrollment ID: I20211014000772 |
Provider Name | Heather M Ward |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093487852 PECOS PAC ID: 5092103077 Enrollment ID: I20211025000407 |
Provider Name | Laurie B Blanchard |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902253818 PECOS PAC ID: 2264821438 Enrollment ID: I20211109000775 |
Provider Name | Erin C Rozek |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194377564 PECOS PAC ID: 5991194177 Enrollment ID: I20211109001429 |
Provider Name | Anne P Murphy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861742850 PECOS PAC ID: 9830588672 Enrollment ID: I20211116002067 |
Provider Name | Heather Lynn Nash |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801451836 PECOS PAC ID: 8628468014 Enrollment ID: I20211129000325 |
Provider Name | Chloe E Dault |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891347688 PECOS PAC ID: 2062802994 Enrollment ID: I20211207001847 |
Provider Name | Jason R Rood |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013560085 PECOS PAC ID: 7214327162 Enrollment ID: I20211208000722 |
Provider Name | Kristina E Luptowski |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033681556 PECOS PAC ID: 1658761291 Enrollment ID: I20211214000946 |
Provider Name | Heidi J Parent-leonard |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578942959 PECOS PAC ID: 3274926043 Enrollment ID: I20220201000236 |
Provider Name | Kendall Leigh Green |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548826274 PECOS PAC ID: 1557754561 Enrollment ID: I20220215000276 |
Provider Name | Audrey Van Oene |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285386326 PECOS PAC ID: 6608964507 Enrollment ID: I20220216000257 |
Provider Name | Sarah A Micklatcher |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487211652 PECOS PAC ID: 7214321926 Enrollment ID: I20220223000934 |
Provider Name | Caitlin A Swets |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952852451 PECOS PAC ID: 6103211941 Enrollment ID: I20220315000819 |
Provider Name | William Martell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306300587 PECOS PAC ID: 8224424072 Enrollment ID: I20220405001023 |
Provider Name | Holly C Gray |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730565011 PECOS PAC ID: 2264829415 Enrollment ID: I20220419000200 |
Provider Name | Christian A Gibson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740850478 PECOS PAC ID: 6103205604 Enrollment ID: I20220613002908 |
Provider Name | Rebecca Lynn Stout |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588118038 PECOS PAC ID: 4981083409 Enrollment ID: I20220614000328 |
Provider Name | Jordana T Seebeck |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982096087 PECOS PAC ID: 4880077734 Enrollment ID: I20220810002594 |
Provider Name | Jenifer L Kallio |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962694455 PECOS PAC ID: 3678743127 Enrollment ID: I20220813000421 |
Provider Name | Elizabeth Jenkins |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528516028 PECOS PAC ID: 3779967864 Enrollment ID: I20220909000289 |
Provider Name | Maryssa Tsakiris |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801209564 PECOS PAC ID: 3678959491 Enrollment ID: I20221003000938 |
Provider Name | Felisha A Bitler |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184130601 PECOS PAC ID: 6406223221 Enrollment ID: I20221108003135 |
Provider Name | Leah E Ewald |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285358317 PECOS PAC ID: 7719354331 Enrollment ID: I20221110000415 |
Provider Name | Christopher J Genther |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427792175 PECOS PAC ID: 5395113484 Enrollment ID: I20221121002475 |
Provider Name | Jennifer Lee Owczarzak |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437876034 PECOS PAC ID: 1254709199 Enrollment ID: I20221123002631 |
Provider Name | Megan Wen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558832188 PECOS PAC ID: 9739557331 Enrollment ID: I20221201000636 |
Provider Name | David N Filkins |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508214214 PECOS PAC ID: 6507235686 Enrollment ID: I20221212002792 |
Provider Name | Katryce R Brown |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417431172 PECOS PAC ID: 4486023595 Enrollment ID: I20221213000780 |
Provider Name | Candice J Arnwine |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629781414 PECOS PAC ID: 3678943628 Enrollment ID: I20230109000503 |
Provider Name | Christine F Duryea |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316650864 PECOS PAC ID: 1456722602 Enrollment ID: I20230125002831 |
Provider Name | Jenna K Deboer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235894601 PECOS PAC ID: 6901277888 Enrollment ID: I20230201001827 |
Provider Name | Elaina J Southwell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396477501 PECOS PAC ID: 0840664900 Enrollment ID: I20230313002908 |
Provider Name | Victoria R Sluga |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942693627 PECOS PAC ID: 2668846981 Enrollment ID: I20230328000318 |
Provider Name | Kaitlyn R Burda |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306433404 PECOS PAC ID: 8022483221 Enrollment ID: I20230330002830 |
Provider Name | Brianna Lee |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861031916 PECOS PAC ID: 9436524162 Enrollment ID: I20230412000602 |
Provider Name | Bradley J Robinson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770937989 PECOS PAC ID: 5799140216 Enrollment ID: I20230504002358 |
Provider Name | Rebecca Sinner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144747767 PECOS PAC ID: 5890151179 Enrollment ID: I20230510003201 |
Provider Name | James R Schuen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962807073 PECOS PAC ID: 7911363858 Enrollment ID: I20230518000821 |
Provider Name | Andrae T Agnew |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306481023 PECOS PAC ID: 6305203704 Enrollment ID: I20230530002684 |
Provider Name | Meagan L Harman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508393539 PECOS PAC ID: 2365800638 Enrollment ID: I20230618000095 |
Provider Name | Rebecca J Back |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003509308 PECOS PAC ID: 5698133692 Enrollment ID: I20230623000999 |
Provider Name | Sandra A Masselink |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598114894 PECOS PAC ID: 0042679508 Enrollment ID: I20230701000195 |
Provider Name | Andrea R Zokoe |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083332647 PECOS PAC ID: 4284094145 Enrollment ID: I20230724003412 |
Provider Name | Karleena A Tillottson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184367054 PECOS PAC ID: 8224499173 Enrollment ID: I20230725003311 |
Provider Name | Kimberly Lynn Whittaker |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538859020 PECOS PAC ID: 2860853249 Enrollment ID: I20230801004149 |
Provider Name | Emily Stark |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295399749 PECOS PAC ID: 0244691343 Enrollment ID: I20230807000346 |
Provider Name | Kathryn L Hickok-mannebach |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245724020 PECOS PAC ID: 7810248473 Enrollment ID: I20230817000285 |
Provider Name | Alena C Kenyon |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063124345 PECOS PAC ID: 0648633750 Enrollment ID: I20230822003459 |
Provider Name | Pilar J Meyer Dunning |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679141071 PECOS PAC ID: 6507229168 Enrollment ID: I20230829004402 |
Provider Name | Kelsey N Rose |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205418290 PECOS PAC ID: 3971966540 Enrollment ID: I20230830000164 |
Provider Name | Suzanne M Portillo |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356615009 PECOS PAC ID: 7618330200 Enrollment ID: I20230830000870 |
Provider Name | Melanie A Brown |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043730153 PECOS PAC ID: 3173893484 Enrollment ID: I20230913001739 |
Provider Name | Alexander C Daoud |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891389854 PECOS PAC ID: 6103280847 Enrollment ID: I20230913001910 |
Provider Name | Kali R Wood-schrantz |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316495922 PECOS PAC ID: 1557715687 Enrollment ID: I20230923000112 |
Provider Name | Elizabeth A Peters |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609342799 PECOS PAC ID: 4082068119 Enrollment ID: I20230923000278 |
Provider Name | Haley A Wolfgram |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164099719 PECOS PAC ID: 0840644282 Enrollment ID: I20231003003499 |
Provider Name | Allison Brower |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982481115 PECOS PAC ID: 0840644225 Enrollment ID: I20231004001129 |
Provider Name | Daniel C Scott |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922490614 PECOS PAC ID: 9638525181 Enrollment ID: I20231019003117 |
Provider Name | Linda A Johnson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093853863 PECOS PAC ID: 8123153202 Enrollment ID: I20231024000242 |
Provider Name | Sabrina Rene Haverdink |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700458940 PECOS PAC ID: 9739536186 Enrollment ID: I20231107003242 |
Provider Name | Kathryn G Baumgras |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538435193 PECOS PAC ID: 6901253269 Enrollment ID: I20231108000314 |
Provider Name | Amanda M Stoffers |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427324029 PECOS PAC ID: 0345698965 Enrollment ID: I20231121000301 |
Provider Name | Hilary J Dykhouse |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922417534 PECOS PAC ID: 3476901406 Enrollment ID: I20231130002688 |
Provider Name | Corey Susan Lloyd |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083193882 PECOS PAC ID: 2365891892 Enrollment ID: I20231209000721 |
Provider Name | Erin Nichole Byker |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831978576 PECOS PAC ID: 5991154395 Enrollment ID: I20231211002514 |
Provider Name | Heidi L Dygert |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740604438 PECOS PAC ID: 0840640934 Enrollment ID: I20240102003179 |
Provider Name | Selma S Balkic |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922391895 PECOS PAC ID: 8224480330 Enrollment ID: I20240113000471 |
Provider Name | Amber M Kohagen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972143261 PECOS PAC ID: 0143663674 Enrollment ID: I20240212001966 |
Provider Name | Samantha Binns |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235678368 PECOS PAC ID: 8921445883 Enrollment ID: I20240327001776 |
Provider Name | Julie Lynn Smith |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295854883 PECOS PAC ID: 7315385846 Enrollment ID: I20240403002286 |
Provider Name | Kirstin N Davis |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639520836 PECOS PAC ID: 1456790146 Enrollment ID: I20240415000649 |
Provider Name | Rachel C Seyfert |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720869399 PECOS PAC ID: 7315386588 Enrollment ID: I20240420000057 |
Provider Name | Colin David Bachinski |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629748082 PECOS PAC ID: 9032551148 Enrollment ID: I20240521002623 |
Provider Name | Cody James Akers |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467920009 PECOS PAC ID: 9638402316 Enrollment ID: I20240529000358 |
Provider Name | Heather M Pineda |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770232852 PECOS PAC ID: 3274975719 Enrollment ID: I20240529002029 |
Reclaim Life Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 Monroe Ave Nw, Ste 300, Grand Rapids, MI 49503 Phone: 616-309-0107 Fax: 616-825-6185 | |
Bridges Counseling Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3280 E Beltline Ct Ne, Grand Rapids, MI 49525 Phone: 616-447-3404 | |
Tru Behavior Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 Joslin St Se, Grand Rapids, MI 49507 Phone: 616-287-0740 | |
Hra Psychological Services Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2851 Charlevoix Dr Se Ste 323, Grand Rapids, MI 49546 Phone: 616-458-0692 Fax: 616-458-8129 | |
Perennial Health Services Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 E Fulton St, Suite 114, Grand Rapids, MI 49503 Phone: 616-633-7203 Fax: 616-427-3023 | |
Heart Of The City Health Center West Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Sheldon Blvd Se, Grand Rapids, MI 49503 Phone: 616-965-8282 Fax: 616-940-5366 | |
Thriveworks Counseling Grand Rapids Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4079 Park East Ct Se, Suite C, Grand Rapids, MI 49546 Phone: 269-823-4873 |