MR. CHRISTOPHER KARL KRUEBBE (NPI# 1124288550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124288550 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER KARL KRUEBBE |
| Credential | LCSW |
| Practice Address |
9465 Third Street Bay City OR 97107 |
| Mailing Address |
Po Box 3575 Bay City OR 97107-3575 |
| Practice Telephone | 5414507991 |
| Practice Fax Number | 5414720009 |
| Mailing Telephone | 5414507991 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2014-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
11664 | LA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L5771 | OR | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
23581 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICARE PART B PTAN | R171558 | 01 |
| Street Address |
9465 THIRD STREET |
| City | BAY CITY |
| State | OR |
| Zip Code | 97107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709896 | All-star Rehab Plus Kids, Pllc | Clinic/Center | 1913 7th St, Bay City, TX 77414-5112 | 2020-10-29 |
| 1629676697 | Family First Homecare of Texas LLC | Home Health | 1909 Hamman Rd Apt 702, Bay City, TX 77414-8572 | 2020-10-13 |
| 1811594369 | Alianna Johnson | Behavior Technician | 1114 N Lincoln St, Bay City, MI 48708-6161 | 2020-10-07 |
| 1619574357 | Kalie Keyes | Behavior Technician | 3710 Katalin Ct, Bay City, MI 48706 | 2020-10-06 |
| 1093321200 | Jamie Price-tober | Technician, Other | 4777 Spitler Dr, Bay City, MI 48706-9498 | 2020-09-22 |
| 1699380352 | Belma H Cruz | Nurse Practitioner | 1820 Sunset Ave, Bay City, TX 77414-4655 | 2020-09-10 |
| 1215542022 | Tso Bay City, Pllc | Optometrist | 4310 7th St Ste 400, Bay City, TX 77414-5288 | 2020-09-09 |
| 1114530789 | Amanda Lee Burton | Specialist/Technologist | 104 1/2 Spruce St, Bay City, MI 48706-3881 | 2020-08-24 |
| 1609487198 | Berkeley Eye Institute, P.a | Optometrist | 6500 7th St Ste 200, Bay City, TX 77414-1201 | 2020-08-10 |
| 1154947703 | Bay City Comfort Care | Assisted Living Facility | 4130 Shrestha Dr, Bay City, MI 48706-2184 | 2020-06-19 |
| Find all providers in BAY CITY | ||||
| 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 |
|---|---|---|---|---|
| 1184116519 | Patricia Nancy Edwards | Social Worker | 4106 Wilder Road Ste 337, Bay City, MI 48706-2239 | 2018-06-01 |
| 1336639228 | Mary Elaine Gilbert | Social Worker | 909 Washington Ave Ste 3, Bay City, MI 48708-5722 | 2018-05-16 |
| 1447700455 | Robin Reid | Social Worker | 4106 Wilder Rd Ste 175, Bay City, MI 48706-2239 | 2016-10-13 |
| 1205383569 | Jennifer Iglehart | Social Worker | 720 12th St, Bay City, TX 77414-2904 | 2016-09-04 |
| 1235581455 | Julayne Richmond | Social Worker | 909 Washington Ave, Suite 3, Bay City, MI 48708-5722 | 2016-07-12 |
| 1154713972 | Kevin Griffith | Social Worker | 1400 S Lincoln St, Bay City, MI 48708-8103 | 2015-03-03 |
| 1043626344 | Lorraine Haley | Social Worker | 1308 Columbus Ave, Ste 102, Bay City, MI 48708-6671 | 2014-07-08 |
| 1205249612 | Catherine Filary | Social Worker | 1008 19th St, Bay City, MI 48708-7348 | 2014-06-04 |
| 1083032973 | Roger Pickering | Social Worker | 5635 W Spring Knoll Dr, Bay City, MI 48706-5615 | 2014-03-28 |
| 1962833939 | Jodi Histed | Social Worker | 916 Washington Ave Ste 223, Bay City, MI 48708-5721 | 2013-12-02 |
| Find all providers in BAY CITY | ||||
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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.