KOASTER BRIM


Address: 4212 Lennon Rd Ste 1, Flint, MI 48507-1080
Phone: 8104298666

KOASTER BRIM (NPI# 1083080857) 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) 1083080857
Entity Type Individual
Full Name KOASTER BRIM
Practice Address 4212 Lennon Rd Ste 1
Flint
MI 48507-1080
Practice Telephone 8104298666
Mailing Telephone 8104298666
Enumeration Date 2015-08-17
Last Update Date 2015-08-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
6801097490 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 3833C 05
MI 13189 05

Office Location

Street Address 4212 LENNON RD STE 1
City FLINT
State MI
Zip Code 48507-1080

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245847870 Alexis Nichole Leach Physician Assistant 5494 South Dort Hwy, Flint, MI 48507 2020-09-28
1508330317 Jeffrey Mark Funck Registered Nurse G-4443 Miller Road, Suite 100, Flint, MI 48507 2019-01-15
1861981292 Lavonne L Alexander Nurse Practitioner 4500 S Saginaw St Ste 1875, Flint, MI 48507 2018-05-01
1760984348 Melissa Dawn Hoffman Psychologist 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 2018-02-28
1902327323 Katee Mast Case Manager/Care Coordinator 110 Eldon Baker Drive, Flint, MI 48507 2017-07-06
1699228460 Joshua Sinclair Social Worker 2442 E Maple Ave Ste 207, Flint, MI 48507 2016-07-28
1477903730 Gracie Hunter Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1110 Eldon Baker, Flint, MI 48507 2016-06-17
1528412822 Drita Gojcaj Massage Therapist 3426 Miller Road, Flint, MI 48507 2016-04-22
1629422100 Ellen Makarewicz-ely Massage Therapist 3426 Miller Rd, Flint, MI 48507 2016-04-20
1700262722 Katelyn Bailey Nurse Practitioner 1420 W Twelfth St, Flint, MI 48507 2015-07-31
Find all providers in zip 48507

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285244798 Toyonna Robbins Social Worker 1045 Royalcrest Dr, Flint, MI 48532-3244 2020-08-10
1053920801 Sarina Renee Harris Social Worker 2387 S Linden Rd Ste 137, Flint, MI 48532-5488 2020-07-28
1376167460 Jaleesa Pouncil Social Worker 1296 Springborrow Dr, Flint, MI 48532-2171 2020-06-03
1427686153 Seth A Kindel Social Worker 338 Allendale Pl, Flint, MI 48503-4850 2020-03-30
1801420708 Stacey Allen Social Worker 5401 Gateway Ctr Ste D, Flint, MI 48507-3980 2020-02-28
1508428251 Live Your Life Counseling & Treatment Services LLC Social Worker 653 S Saginaw St, Flint, MI 48502-1512 2019-07-02
1053871376 Stones for Hope Pllc Social Worker G3500 Flushing Rd Ste 140, Flint, MI 48504-4235 2019-03-22
1467941740 The Therapy Center for Wellness and Recovery LLP Social Worker 2503 S Linden Rd Ste 210, Flint, MI 48532-5449 2018-05-02
1184095242 Jessica Dixon Social Worker 3600 S Dort Hwy Ste 54, Flint, MI 48507-2054 2015-10-15
1912387697 Jason S Wheatley Social Worker 2483 S Linden Rd Ste 240, Flint, MI 48532-5478 2015-06-08
Find all providers in FLINT

Competitor

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City FLINT
Zip Code 48507

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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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