JOHN STAFFORD


Address: 504 5th St, Ferrysburg, MI 49409-5119
Phone: 6164986008

JOHN STAFFORD (NPI# 1043694714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043694714
Entity Type Individual
Full Name JOHN STAFFORD
Credential LMSW
Practice Address 504 5th St
Ferrysburg
MI 49409-5119
Mailing Address 504 Fifth Street
Po Box 35
Ferrysburg
MI 49409-0035
Practice Telephone 6164986008
Mailing Telephone 6164986008
Enumeration Date 2015-07-13
Last Update Date 2015-07-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker 064030 MI Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
064030 MI Behavioral Health & Social Service Providers

Other Providers JOHN STAFFORD

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1801078365 John A Stafford Chiropractor 1750 E 87th St, Chicago, IL 60617 2007-11-27
1760512586 John D Stafford Nurse Practitioner 449 Main St, Oneonta, NY 13820-2028 2007-03-07
1992871040 John E Stafford Dentist 9220 Ellerbe Rd, Suite 100, Shreveport, LA 71106 2006-11-28
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1730281403 John E Stafford Psychologist 350 Salem Road, Ste 1, Conway, AR 72034 2006-09-02

Office Location

Street Address 504 5TH ST
City FERRYSBURG
State MI
Zip Code 49409-5119

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

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Competitor

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City FERRYSBURG
Zip Code 49409

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Dataset Information

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.

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