JAMILY AXLINE (NPI# 1013540665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013540665 |
| Entity Type | Individual |
| Full Name | JAMILY AXLINE |
| Practice Address |
119 Harris Ave Tawas City MI 48764 |
| Mailing Address |
1199 Harris Ave Tawas City MI 48763-9681 |
| Practice Telephone | 9893628636 |
| Mailing Telephone | 9893628636 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6802090420 | MI | Behavioral Health & Social Service Providers |
| Street Address |
119 HARRIS AVE |
| City | TAWAS CITY |
| State | MI |
| Zip Code | 48764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760036222 | Karen Heier | Community Health Worker | 1199 W Harris St, Tawas City, MI 48764 | 2019-08-01 |
| 1922211325 | Ricardo Melegrito Velasco | Physical Therapist | 110 Beech Street, Tawas City, MI 48764 | 2007-05-08 |
| 1609803659 | Jon M Kaliszewski Md PC | Anesthesiology | 200 Hemlock M-55, Tawas, MI 48764 | 2006-06-26 |
| 1912943036 | Michele M Stockton | Chiropractor | 1113 W Lake St, Tawas City, MI 48764 | 2006-06-20 |
| 1497973762 | Alliance Imaging Inc | Clinic/Center | 200 Hemlock St, Tawas City, MI 48764 | 2007-04-23 |
| 1457389769 | Jon Mark Kaliszewski | Anesthesiology | 200 Hemlock M-55, Tawas, MI 48764 | 2006-06-28 |
| 1609395888 | Mandy Grenier | Counselor | Po Box 310, Tawas City, MI 48764-0310 | 2017-09-19 |
| 1902126667 | Charity C Simpkins | Dietitian, Registered | 200 Hemlock, Tawas City, MI 48764-0659 | 2010-06-04 |
| 1417011701 | Ausable Valley Community Mental Health Services Board | Community/Behavioral Health | 1199 W Harris Ave, Tawas City, MI 48764-9310 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980314 | Greg Malewska | Nurse Practitioner | 420 W Lake St, Tawas City, MI 48763-8309 | 2020-10-23 |
| 1952913667 | Amber Lyn Hatcher | Occupational Therapist | 2682 Miller Rd, Tawas City, MI 48763-8619 | 2020-08-24 |
| 1932722907 | Nancy Clark | Occupational Therapist | 1147 S Bay Dr, Tawas City, MI 48763-9318 | 2020-05-25 |
| 1285115733 | Rebekah Ann Palmer | Behavior Technician | 300 Margo St, Tawas City, MI 48763-9223 | 2018-08-23 |
| 1770074015 | Thomas Paul Rautenberg | Physical Therapist | 1320 S Rempert Rd, Tawas City, MI 48763-9583 | 2018-05-22 |
| 1629528724 | Theodore Hoxie | Technician, Other | 560 E M 55, Tawas City, MI 48763-9227 | 2016-10-12 |
| 1003363938 | Tricia Briggs | Technician, Other | 317 8th Ave, Tawas City, MI 48763-9792 | 2016-09-08 |
| 1033560321 | Teresa Dewald I | Technician, Other | 2582 Chamberlin Dr, Tawas City, MI 48763-9604 | 2016-06-28 |
| 1285091645 | Alpena Supermarket Inc | Pharmacy | 220 W Lake St, Tawas City, MI 48763-9219 | 2016-01-15 |
| 1689052698 | Victoria Mcgillis | Nurse Practitioner | 325 E M 55 Ste B, Tawas City, MI 48763 | 2015-05-11 |
| Find all providers in TAWAS CITY | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659410041 | John Christopher Moran | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2007-02-05 |
| 1588286249 | Erica Ann Martin | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2020-05-15 |
| 1972060564 | Laurie Miller | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2019-03-01 |
| 1396210753 | Bryan Blattert | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2018-10-11 |
| 1871073973 | Allison Ames | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2018-08-17 |
| 1356829501 | Christine Koehler | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2018-07-31 |
| 1992203426 | Monica Peach | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2018-01-30 |
| 1992173256 | Megan Cathleen Savasky | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2015-09-03 |
| 1124404603 | Rachel West | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2015-08-06 |
| 1891008827 | Elizabeth A Hoydic | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2010-07-20 |
| Find all providers in TAWAS CITY | ||||
| City | TAWAS CITY |
| Zip Code | 48764 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.