KOASTER BRIM (NPI# 1083080857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801097490 | MI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 3833C | 05 | |
MI | 13189 | 05 |
Street Address |
4212 LENNON RD STE 1 |
City | FLINT |
State | MI |
Zip Code | 48507-1080 |
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 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 |
---|---|---|---|---|
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 |
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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.