ELIZABETH THERESE KREAGER (NPI# 1083125017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083125017 |
| Entity Type | Individual |
| Full Name | ELIZABETH THERESE KREAGER |
| Credential | LLBSW |
| Practice Address |
3604 Clarkston Rd Clarkston MI 48348-5215 |
| Mailing Address |
202 Astor Knolls Dr Ortonville MI 48462-8475 |
| Practice Telephone | 2485959969 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6802089761 | MI | Behavioral Health & Social Service Providers |
| Street Address |
3604 CLARKSTON RD |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48348-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548569049 | Adam R Pasciak | Psychologist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2011-03-23 |
| 1699380469 | Deanna Martens | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2020-09-09 |
| 1699251769 | Allen Shamow | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2018-07-12 |
| 1851826879 | Maria E Summerford | Psychologist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2017-04-27 |
| 1841672987 | Karyn Skiba | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348 | 2015-06-25 |
| 1255759486 | Lake Orion Counseling Center | Psychologist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2014-04-04 |
| 1184045676 | Tiffany Marie Laporte | Student in an Organized Health Care Education/Training Program | 3604 Clarkston Rd, Suite 102, Clarkston, MI 48348-5215 | 2013-12-30 |
| 1225465396 | Life Skills Rehabilitation | Occupational Therapist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2013-10-03 |
| 1821337635 | Denise Fanny Banyai | Counselor | 3604 Clarkston Rd, Suite 102, Clarkston, MI 48348-5215 | 2013-02-14 |
| 1801161286 | Kristen Kay Bernat | Counselor | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2012-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1134787906 | Claudia Maryann Beauvais | Peer Specialist | 4533 Sedona Dr, Clarkston, MI 48348 | 2019-06-05 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
| 1447587753 | Carrie Ann Schlicht | Occupational Therapist | 7508 Mecad Boulevard, Suite A, Clarkston, MI 48348 | 2009-11-06 |
| 1740424290 | Nedra Gean Downing | General Practice | 5715 Bella Rose Blvd., Ste 100, Clarkston, MI 48348 | 2009-04-28 |
| 1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
| 1962624957 | Keri Sue Hickmott | Social Worker | 9340 Dixie Highway, Clarkston, MI 48348 | 2007-05-02 |
| 1720209273 | Linda Carole Gualdoni | Physical Therapist | 7508 M.e. Cad Blvd., Suite A, Clarkston, MI 48348 | 2007-05-01 |
| 1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
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| 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 |
|---|---|---|---|---|
| 1720611528 | Origins Counseling, Pllc | Social Worker | 8040 Ortonville Rd # E9, Clarkston, MI 48348-4468 | 2020-02-20 |
| 1447880265 | Fieldstone Counseling & Wellness Center | Social Worker | 9191 Dixie Hwy, Clarkston, MI 48348-4248 | 2020-01-21 |
| 1508402934 | Robert Garchow | Social Worker | 3694 Clarkston Rd Ste C, Clarkston, MI 48348-5213 | 2019-11-20 |
| 1366098923 | Holly Jara | Social Worker | 5980 S Main St Ste 101, Clarkston, MI 48346-2377 | 2019-08-09 |
| 1467929471 | Victoria Fleming | Social Worker | 7183 N Main St # 12, Clarkston, MI 48346-1598 | 2018-10-28 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1629515077 | Laura Munger | Social Worker | 4545 Clawson Tank Dr, Clarkston, MI 48346-2581 | 2017-01-24 |
| 1407206873 | Paul Ulewicz I | Social Worker | 7160 Andersonville Rd, Clarkston, MI 48346-2710 | 2016-06-16 |
| 1598112245 | Kimberly Jill Byrd | Social Worker | 6997 Cranberry Lake Rd, Clarkston, MI 48348-4417 | 2016-05-23 |
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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.