TRUDY HARBAUM (NPI# 1023590924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023590924 |
| Entity Type | Individual |
| Full Name | TRUDY HARBAUM |
| Credential | LLMSW |
| Practice Address |
5 W Main St Unit 3 Boyne City MI 49712-3700 |
| Mailing Address |
318 Ann St Boyne City MI 49712-1602 |
| Practice Telephone | 2314598886 |
| Practice Fax Number | 2313446100 |
| Mailing Telephone | 2314598886 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801103248 | MI | Behavioral Health & Social Service Providers |
| Street Address |
5 W MAIN ST UNIT 3 |
| City | BOYNE CITY |
| State | MI |
| Zip Code | 49712-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447760319 | Pyramid of Hope Counseling, LLC | Counselor | 5 W. Main Street, Unit #3, Boyne City, MI 49712 | 2017-10-05 |
| 1992115679 | Rebecca L Dionne | Counselor | 101 River Street, Suite 100, Boyne City, MI 49712 | 2014-05-02 |
| 1255516597 | James Edward Straley | Dentist | 202 North Lake Street, Boyne City, MI 49712 | 2008-01-06 |
| 1538208657 | Edward Allan Fritch Jr. | Family Medicine | 719d N Lake St, Boyne City, MI 49712 | 2007-02-05 |
| 1992856884 | Christopher Fair | Chiropractor | 200 Air Industrial Park Drive, Boyne City, MI 49712 | 2007-01-16 |
| 1851371124 | Dennis Edward Kirkby | Dentist | 112 E Main St, Boyne City, MI 49712 | 2006-01-20 |
| 1417935040 | Carrie Jean-borowski Bollmann | Nurse Practitioner | 1249 M-75 South, Boyne City, MI 49712 | 2006-01-04 |
| 1588150064 | Echocardiography On Wheels, Lc | Spec/Tech, Cardiovascular | 120 Water St, Boyne City, MI 49712 | 2018-07-07 |
| 1811483571 | Tiffany Marie Faulknor | Spec/Tech, Cardiovascular | 120 Water St, Boyne City, MI 49712 | 2018-07-05 |
| 1679631923 | Boyne City Dental | Dentist | 830 State St, Boyne City, MI 49712 | 2006-12-05 |
| Find all providers in zip 49712 | ||||
| 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 |
|---|---|---|---|---|
| 1639235898 | Tammy Croy Mcmillian | Social Worker | 701 S Park St, Boyne City, MI 49712-1535 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629886 | Suzanne Mcnees | Social Worker | 7373 Morgan Rd E, Battle Creek, MI 49017-9705 | 2020-11-07 |
| 1366043408 | Azeldri Van Der Wath | Social Worker | 41423 Ambercrest Dr, Sterling Heights, MI 48314-3719 | 2020-11-05 |
| 1972104834 | Anne Elizabeth Rife | Social Worker | 4660 Marsh Rd Ste 27, Okemos, MI 48864-2143 | 2020-11-05 |
| 1952902199 | Nakedae R. Cooper | Social Worker | 5847 S Mohawk Ave, Ypsilanti, MI 48197-7119 | 2020-11-04 |
| 1104427368 | Kizzy Nieves | Social Worker | 52280 Cedar Mill Dr, Macomb, MI 48042-5658 | 2020-11-04 |
| 1225639560 | Ananya Avinash | Social Worker | 235 Olivia Ct Nw, Grand Rapids, MI 49504-5897 | 2020-11-03 |
| 1568062107 | Noor Mateen | Social Worker | 2564 Carpenter Rd, Ann Arbor, MI 48108-1175 | 2020-10-30 |
| 1588264808 | January Haulenbeek | Social Worker | 10093 W P Ave, Kalamazoo, MI 49009-4405 | 2020-10-27 |
| 1508466814 | Betsy Michelle Ulicki | Social Worker | 5787 Ball Ave, Harrison, MI 48625-9385 | 2020-10-27 |
| 1982203485 | Becoming You Therapy Pllc | Social Worker | 2346 Mission Hills Dr Se, Grand Rapids, MI 49546-7804 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | BOYNE CITY |
| Zip Code | 49712 |
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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.