| Sparrow Behavioral Health - Social Workers | |
|
1210 W Saginaw St 2nd Floor Lansing MI 48915-1927 | |
| (517) 364-7700 | |
| (517) 364-7701 |
| Full Name | Sparrow Behavioral Health - Social Workers |
|---|---|
| Speciality | Social Worker |
| Location | 1210 W Saginaw St, Lansing, Michigan |
| Authorized Official Name and Position | Misty Gunter Russian (SUPERVISOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5172536308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparrow Behavioral Health - Social Workers 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 364-7700 | Sparrow Behavioral Health - Social Workers 1210 W Saginaw St 2nd Floor Lansing MI 48915-1927 Ph: (517) 364-7700 |
| NPI Number | 1033165790 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 6709799166 |
|---|---|
| Medicare Enrollment ID | O20050210000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033165790 | NPI | - | NPPES |
| 800C311010 | Other | MI | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mariadel Pilar A Monta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326018045 PECOS PAC ID: 5092617894 Enrollment ID: I20040122000782 |
| Provider Name | Steven E Beverly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194872267 PECOS PAC ID: 1658348636 Enrollment ID: I20040910000843 |
| Provider Name | Paul M Entler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437195336 PECOS PAC ID: 1850351537 Enrollment ID: I20041018000048 |
| Provider Name | Stephen M Cottrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700982758 PECOS PAC ID: 8426009176 Enrollment ID: I20050210000060 |
| Provider Name | Lisa M Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881062305 PECOS PAC ID: 0446290977 Enrollment ID: I20050504000691 |
| Provider Name | Barbara A Bohne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689631202 PECOS PAC ID: 0749208957 Enrollment ID: I20051107000345 |
| Provider Name | Mindy K Lane |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932190642 PECOS PAC ID: 3678578689 Enrollment ID: I20060926000407 |
| Provider Name | Ghanem Almounajed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235146150 PECOS PAC ID: 0446358766 Enrollment ID: I20070611000630 |
| Provider Name | Sheila L Hoppe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174795553 PECOS PAC ID: 8426128331 Enrollment ID: I20080604000504 |
| Provider Name | Pratima Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700808862 PECOS PAC ID: 3375619646 Enrollment ID: I20080910000444 |
| Provider Name | Hari Sree Conjeevaram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831271360 PECOS PAC ID: 9537254230 Enrollment ID: I20081212000583 |
| Provider Name | Judy I Mclane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821329806 PECOS PAC ID: 3870628613 Enrollment ID: I20100317001087 |
| Provider Name | Tusar K Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740271527 PECOS PAC ID: 2466416615 Enrollment ID: I20100422000444 |
| Provider Name | Iftiker K Ahmad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184673402 PECOS PAC ID: 0749271245 Enrollment ID: I20101118000559 |
| Provider Name | Christie Herrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891853883 PECOS PAC ID: 9537358825 Enrollment ID: I20110119000101 |
| Provider Name | David E Hagan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578554804 PECOS PAC ID: 6709773039 Enrollment ID: I20110221000768 |
| Provider Name | Hwan Y Yoo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730173436 PECOS PAC ID: 3476542978 Enrollment ID: I20110526000204 |
| Provider Name | Kelli Lynn Isralson Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235418138 PECOS PAC ID: 7618148537 Enrollment ID: I20110923000540 |
| Provider Name | Dominic V Barberio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598818536 PECOS PAC ID: 4981851383 Enrollment ID: I20120820000699 |
| Provider Name | Tadd K Hiatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457407074 PECOS PAC ID: 0143395301 Enrollment ID: I20120821000531 |
| Provider Name | Kimberlee M Chesney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598995102 PECOS PAC ID: 2567611056 Enrollment ID: I20120926000724 |
| Provider Name | Darashana R Punglia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952423170 PECOS PAC ID: 3476702226 Enrollment ID: I20121011000211 |
| Provider Name | Russell A Stratton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225221203 PECOS PAC ID: 1153571856 Enrollment ID: I20121015000338 |
| Provider Name | Kosisochi M Obinwanne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912179920 PECOS PAC ID: 9638320633 Enrollment ID: I20131113000207 |
| Provider Name | Heather S Findley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295037109 PECOS PAC ID: 4284862806 Enrollment ID: I20140106000215 |
| Provider Name | Jacqueline S Urban |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013320449 PECOS PAC ID: 5496970998 Enrollment ID: I20140625000921 |
| Provider Name | Mamoon M Elbedawi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770662553 PECOS PAC ID: 5799871943 Enrollment ID: I20141212001813 |
| Provider Name | Allen A Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609994490 PECOS PAC ID: 3870762149 Enrollment ID: I20150713001455 |
| Provider Name | Cynthia J Haines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114070059 PECOS PAC ID: 5496068082 Enrollment ID: I20150727000649 |
| Provider Name | Ashley Church |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972861714 PECOS PAC ID: 3577711837 Enrollment ID: I20150810001247 |
| Provider Name | Noah P Thormeier |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790048528 PECOS PAC ID: 6709195571 Enrollment ID: I20151016001675 |
| Provider Name | Jeffrey R Caler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811951791 PECOS PAC ID: 5991005969 Enrollment ID: I20151123001921 |
| Provider Name | Wade Carver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629216015 PECOS PAC ID: 4082915467 Enrollment ID: I20151209002763 |
| Provider Name | Patricia I Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386034239 PECOS PAC ID: 6002115524 Enrollment ID: I20160504001063 |
| Provider Name | Carolyn P Rex |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619322468 PECOS PAC ID: 0345534152 Enrollment ID: I20160802001236 |
| Provider Name | Margaret A Mcgahey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033140967 PECOS PAC ID: 5395030142 Enrollment ID: I20160818001692 |
| Provider Name | Ashley L Maiville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346693165 PECOS PAC ID: 8426344672 Enrollment ID: I20160914001456 |
| Provider Name | Heather Snow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184056715 PECOS PAC ID: 0244527828 Enrollment ID: I20160926001069 |
| Provider Name | Jennifer Renee Mccaskill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972999365 PECOS PAC ID: 1951603802 Enrollment ID: I20180724002819 |
| Provider Name | Matthew B Sturm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710246145 PECOS PAC ID: 2668772633 Enrollment ID: I20180807003141 |
| Provider Name | Hirut Mersha-scarlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235625369 PECOS PAC ID: 4789934761 Enrollment ID: I20180912003166 |
| Provider Name | Brianne Nicole Dangc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639670144 PECOS PAC ID: 6608139225 Enrollment ID: I20181218003088 |
| Provider Name | Kayla L Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225478225 PECOS PAC ID: 4486999521 Enrollment ID: I20181218003768 |
| Provider Name | Choudhury S Hasan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629187752 PECOS PAC ID: 9638336530 Enrollment ID: I20190131000319 |
| Provider Name | Stephanie L Ostrander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932768744 PECOS PAC ID: 4880922731 Enrollment ID: I20190829004286 |
| Provider Name | Andrea L Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568001394 PECOS PAC ID: 0840620654 Enrollment ID: I20200419000414 |
| Provider Name | Dorothy C Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326646050 PECOS PAC ID: 8426460056 Enrollment ID: I20201223001310 |
| Provider Name | Kayla M Durocher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700350774 PECOS PAC ID: 0547673717 Enrollment ID: I20210107000208 |
| Provider Name | Jessica N House |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487067211 PECOS PAC ID: 5698189777 Enrollment ID: I20210201002410 |
| Provider Name | Jeffery Berinstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023492519 PECOS PAC ID: 7214237155 Enrollment ID: I20210810003403 |
| Provider Name | Amy L Wimberly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750048419 PECOS PAC ID: 4587055801 Enrollment ID: I20211221002344 |
| Provider Name | Nicholas M Kogut |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770077539 PECOS PAC ID: 7810384369 Enrollment ID: I20220502000339 |
| Provider Name | Abhishek Satishchandran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952895203 PECOS PAC ID: 9436405438 Enrollment ID: I20230104001025 |
| Provider Name | Essam Tellawi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093715690 PECOS PAC ID: 2365497070 Enrollment ID: I20230428002032 |
| Provider Name | Fariah K Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346770401 PECOS PAC ID: 1153691167 Enrollment ID: I20230717000225 |
| Provider Name | Jessica Figueroa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174031215 PECOS PAC ID: 7113387077 Enrollment ID: I20230724003287 |
| Provider Name | Eric M Pittelkow |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1982050340 PECOS PAC ID: 4880985423 Enrollment ID: I20230725000835 |
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