FREDERICK A JEFFERS III (NPI# 1164859864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164859864 |
| Entity Type | Individual |
| Full Name | FREDERICK A JEFFERS III |
| Practice Address |
801 Hazen St Paw Paw MI 49079-2008 |
| Practice Telephone | 2696575574 |
| Practice Fax Number | 2696576523 |
| Mailing Telephone | 2696575574 |
| Mailing Fax Number | 2696576523 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
801 HAZEN ST |
| City | PAW PAW |
| State | MI |
| Zip Code | 49079-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346200631 | Janet Louise Dodge | Social Worker | 801 Hazen St, Suite C, Paw Paw, MI 49079-0249 | 2006-03-23 |
| 1962043588 | Jody Waite | Social Worker | 801 Hazen St, Paw Paw, MI 49079-2008 | 2019-10-04 |
| 1104479567 | Kimberly Duell | Registered Nurse | 801 Hazen St, Paw Paw, MI 49079-2008 | 2019-07-24 |
| 1932635042 | Michael Phillips | Registered Nurse | 801 Hazen St, Ste. C, Paw Paw, MI 49079-2008 | 2017-05-10 |
| 1871033936 | Karen Riffer-reinert | Social Worker | 801 Hazen St, Suite C, Paw Paw, MI 49079-2008 | 2017-03-08 |
| 1316480957 | Cynthia Whittingham | Social Worker | 801 Hazen St, Suite C, Paw Paw, MI 49079-2008 | 2016-11-30 |
| 1538511704 | Jennifer Palm | Social Worker | 801 Hazen St, Suite C, Paw Paw, MI 49079-2008 | 2016-07-12 |
| 1386093508 | Denise Lounsbury | Community Health Worker | 801 Hazen St, Suite C, Paw Paw, MI 49079-2008 | 2016-06-08 |
| 1770956278 | Jane Turner | Social Worker | 801 Hazen St, Suite C, Paw Paw, MI 49079-2008 | 2015-11-05 |
| 1396117669 | Jessica Stephenson-parise | Counselor | 801 Hazen St, Suite C, Paw Paw, MI 49079-2008 | 2015-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700359387 | Elizabeth Ann Heskett | Social Worker | Bronson Lakeview Family Care, 451 Health Parkway, Suite B, Paw Paw, MI 49079 | 2019-01-07 |
| 1346775269 | Timothy Adli Kanaan | Counselor | 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 | 2017-04-28 |
| 1558655464 | Tamayi Bwititi | Family Medicine | 451 Health Pkwy Ste G, Paw Paw, MI 49079 | 2011-06-08 |
| 1942401047 | Jenny Adina Grunberg | Dentist | 54055 County Rd 653, Paw Paw, MI 49079 | 2007-05-29 |
| 1912058918 | David James Potts | Psychologist | 181 West Michigan Ave Suite 3, Mapleview Consultation Center P.c, Paw Paw, MI 49079 | 2007-01-16 |
| 1760438378 | Starhealth Multi-specialty Group, P.C. Pharmacy | Pharmacist | 451 Health Parkway, Paw Paw, MI 49079 | 2006-05-25 |
| 1528029568 | Jayantilal J Bathani | Pediatrics | 505 Hazen St, Ste 203, Paw Paw, MI 49079 | 2006-03-29 |
| 1548231202 | Gregory Cassidy | Physician Assistant | 125 N Kalamazoo St, #82, Paw Paw, MI 49079 | 2006-01-31 |
| 1649782418 | Amber Bemis | Occupational Therapy Assistant | 801 Hazen Street, Suite C, Paw Paw, MI 49079 | 2017-11-01 |
| 1073047122 | Theresa Arnold | Social Worker | 181 W Michigan Ave Ste 3, Paw Paw, MI 49079 | 2017-04-15 |
| Find all providers in zip 49079 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720475114 | Pamela Miles | Social Worker | 37330 36th St, Paw Paw, MI 49079-9527 | 2015-04-23 |
| 1174775712 | Richard M Bowser | Social Worker | 801 Hazen Street, Suite C., Paw Paw, MI 59079-0249 | 2008-10-15 |
| 1306092036 | Kathleen L. Easterling | Social Worker | 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 | 2008-08-13 |
| 1346200631 | Janet Louise Dodge | Social Worker | 801 Hazen St, Suite C, Paw Paw, MI 49079-0249 | 2006-03-23 |
| 1437119724 | Ann Murphy Niemi | Social Worker | 801 Hazen Street, Ste C, Paw Paw, MI 49079-0249 | 2006-03-23 |
| 1962043588 | Jody Waite | Social Worker | 801 Hazen St, Paw Paw, MI 49079-2008 | 2019-10-04 |
| 1043786700 | Cindy Newberry | Social Worker | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2018-10-22 |
| 1902309602 | Pamela Baney | Social Worker | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2018-03-09 |
| 1942715677 | Lloyd Bloomer | Social Worker | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2017-12-04 |
| 1073047122 | Theresa Arnold | Social Worker | 181 W Michigan Ave Ste 3, Paw Paw, MI 49079 | 2017-04-15 |
| Find all providers in PAW PAW | ||||
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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.