SARAH FREDERICK (NPI# 1144760604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144760604 |
| Entity Type | Individual |
| Full Name | SARAH FREDERICK |
| Other Name | SARAH GULBRANSON |
| Credential | MSW |
| Practice Address |
2600 W Centre Ave Portage MI 49024-4828 |
| Practice Telephone | 2693244141 |
| Practice Fax Number | 2693242020 |
| Mailing Telephone | 2693244141 |
| Mailing Fax Number | 2693242020 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801086245 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184130775 | Sarah Frederick | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2017-12-19 |
| 1982151726 | Sarah Frederick | Occupational Therapist | 3210 Cleveland Ave, Suite 100, Fort Myers, FL 33901-7180 | 2016-09-09 |
| 1033359039 | Sarah Jane Frederick | Social Worker | 130 Powerville Rd, Acis, Boonton, NJ 07005-8705 | 2009-03-03 |
| 1720249097 | Sarah Lindsay Prophet Frederick | Obstetrics & Gynecology | 1026 Goodyear Ave, Suite 200, Gadsden, AL 35903-1102 | 2008-06-19 |
| Street Address |
2600 W CENTRE AVE |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-4828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215917836 | Shanae A Hanoute | Physician Assistant | 2600 W Centre Ave, Portage, MI 49024-4828 | 2006-01-19 |
| 1225667504 | Chelsea Lou Cravens | Registered Nurse | 2600 W Centre Ave, Portage, MI 49024-4828 | 2020-04-07 |
| 1982266854 | Emily Elizabeth Ahle | Dietitian, Registered | 2600 W Centre Ave, Portage, MI 49024-4828 | 2019-07-01 |
| 1700330974 | Rebecca Goole | Nurse Practitioner | 2600 W Centre Ave, Portage, MI 49024-4828 | 2016-08-05 |
| 1588844328 | Melissa Visser | Physician Assistant | 2600 W Centre Ave, Portage, MI 49024-4666 | 2007-11-09 |
| 1174691604 | Madhu M. Batchu | Internal Medicine | 2600 W Centre Ave, Box 42, Portage, MI 49024-4828 | 2006-12-01 |
| 1043280506 | Jeffrey M Coppinger | Internal Medicine | 2600 W Centre Ave, Portage, MI 49024-4828 | 2006-01-25 |
| 1134199615 | Todd J White | Internal Medicine | 2600 W Centre Ave, Bronson Internal Medicine Associates, Portage, MI 49024-4828 | 2006-01-25 |
| 1043280522 | Jaroslaw P Siwik | Internal Medicine | 2600 W Centre Ave, Bronson Internal Medicine Associates, Portage, MI 49024-4828 | 2006-01-25 |
| 1902876477 | Heidi L Griggs | Internal Medicine | 2600 W Centre Ave, Portage, MI 49024-4828 | 2006-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| 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 |
|---|---|---|---|---|
| 1902431380 | Lori E King | Social Worker | 111 E Mullett St, Portage, WI 53901-2325 | 2020-03-06 |
| 1508414368 | Kylie Marie Bader | Social Worker | 614 Romence Rd Ste 245, Portage, MI 49024-3613 | 2019-08-26 |
| 1922651041 | Matthew Jackson | Social Worker | 1820 Pleasant Dr, Portage, MI 49002-5604 | 2019-07-17 |
| 1770044265 | Marie Jeanette Brown | Social Worker | 10784 Schuur St, Portage, MI 49024-7732 | 2019-03-27 |
| 1699249557 | Angela Gutierrez | Social Worker | 2428 Sea Horse St, Portage, IN 46368-6509 | 2019-01-14 |
| 1093288680 | Connected Counseling LLC | Social Worker | 1591 W Centre Ave Ste 103, Portage, MI 49024-5342 | 2019-01-07 |
| 1164925269 | Joy Unlimited Counseling Center, Plc | Social Worker | 6100 Newport Rd Ste 222a, Portage, MI 49002-9235 | 2018-03-14 |
| 1316340029 | Rebecca Clore | Social Worker | 6412 Hampton St, Portage, MI 49024-2532 | 2014-10-08 |
| 1417395393 | Barbara Joanne O'rourke | Social Worker | 721 W Centre Ave, Portage, MI 49024-5309 | 2013-06-12 |
| 1952654162 | Kristin Ranum | Social Worker | 322 Dewitt St, Portage, WI 53901-2114 | 2012-10-25 |
| Find all providers in PORTAGE | ||||
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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.