JUSTIN FOLLEBOUT (NPI# 1073993820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073993820 |
| Entity Type | Individual |
| Full Name | JUSTIN FOLLEBOUT |
| Practice Address |
1460 Coolidge Hwy River Rouge MI 48218-1118 |
| Mailing Address |
15500 Lundy Pkwy Dearborn MI 48126-2778 |
| Practice Telephone | 7349422273 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801085246 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1460 COOLIDGE HWY |
| City | RIVER ROUGE |
| State | MI |
| Zip Code | 48218-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528400983 | Maureen M Murphy | Nurse Practitioner | 1460 Coolidge Hwy, River Rouge, MI 48218-1118 | 2013-07-25 |
| 1982098570 | Rachel Wallner | Social Worker | 1460 Coolidge Hwy, River Rouge, MI 48218-1118 | 2015-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306828397 | City of River Rouge Fire Dept | Ambulance | 10600 W Jefferson Ave, River Rouge, MI 48218 | 2005-11-16 |
| 1487198727 | Jonathan Leslie Tate | Behavior Technician | 258 Polk Ave, River Rouge, MI 48218-1029 | 2016-12-06 |
| 1275901696 | Yaxsaira Pietri | Technician, Other | 539 Polk Ave, River Rouge, MI 48218-1034 | 2015-09-02 |
| 1861799538 | Peoples Community Medical Center PC | Pharmacist | 310 Visger Rd, River Rouge, MI 48218-1037 | 2011-02-16 |
| 1346887866 | Community Care Rx LLC | Pharmacy | 310 Visger Rd, River Rouge, MI 48218-1037 | 2019-12-03 |
| 1639734957 | Sumpter Integrated Health Care Clinic P.l.l.c. | Clinic/Center | 310 Visger Rd, River Rouge, MI 48218-1037 | 2019-05-02 |
| 1598089526 | Dorothy Beatrice Jenkins | Psychologist | 505 Beechwood St, River Rouge, MI 48218-1041 | 2010-03-19 |
| 1568776086 | Exec-u-tech Behavioral Therapy | Community/Behavioral Health | 505 Beechwood St, River Rouge, MI 48218-1041 | 2010-07-27 |
| 1578887808 | Aurelia Lafaye Kent | Social Worker | 505 Beechwood St, River Rouge, MI 48218-1041 | 2010-03-15 |
| 1053709212 | Down River X-press LLC | Non-emergency Medical Transport (VAN) | 146 Charles St, River Rouge, MI 48218-1114 | 2014-12-22 |
| Find all providers in zip 48218 | ||||
| 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 |
|---|---|---|---|---|
| 1982098570 | Rachel Wallner | Social Worker | 1460 Coolidge Hwy, River Rouge, MI 48218-1118 | 2015-03-23 |
| 1578887808 | Aurelia Lafaye Kent | Social Worker | 505 Beechwood St, River Rouge, MI 48218-1041 | 2010-03-15 |
| 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 | RIVER ROUGE |
| Zip Code | 48218 |
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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.