DIANNE BARBARA HARTMAN (NPI# 1205929536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205929536 |
| Entity Type | Individual |
| Full Name | DIANNE BARBARA HARTMAN |
| Credential | LMSW, MAC |
| Practice Address |
19291 Northline Rd Southgate MI 48195 |
| Mailing Address |
41304 Lehigh Ln Northville MI 48167-1927 |
| Practice Telephone | 7342871500 |
| Practice Fax Number | 7342871660 |
| Mailing Telephone | 2482293884 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801062132 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | VALUE OPTIONS# @THE GUIDA | 039849 | 01 |
| MI | VALUE OPTIONS PROVIDER # | 463240 | 01 |
| MI | BLUE CROSS/BLUE SHIELD # | 750810408 | 01 |
| Street Address |
19291 NORTHLINE RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700829116 | Sylvia Noelle Fowler | Social Worker | 19291 Northline Rd, Southgate, MI 48195-2220 | 2006-06-14 |
| 1073056800 | William Buck | Social Worker | 19291 Northline Rd, Southgate, MI 48195-2220 | 2016-11-28 |
| 1194069500 | Jacqueline Diane Parks | Psychologist | 19291 Northline Rd, Southgate, MI 48195-2220 | 2012-11-26 |
| 1154676443 | Jacqueline M Kuehn | Counselor | 19291 Northline Rd, Southgate, MI 48195 | 2012-07-23 |
| 1487935680 | Amanda Leigh Mccreary | Psychologist | 19291 Northline Rd, Southgate, MI 48195-2220 | 2011-08-31 |
| 1134408388 | Lindsay Kelly Voorheis | Social Worker | 19291 Northline Rd, Southgate, MI 48195-2220 | 2011-08-05 |
| 1790933935 | John Peter Levasseur | Counselor | 19291 Northline Rd, Southgate, MI 48195-2220 | 2008-08-29 |
| 1174787261 | Cynthia A Pruett | Social Worker | 19291 Northline Rd, Southgate, MI 48195-2220 | 2008-07-17 |
| 1972767010 | Judith Helene Brohman | Psychologist | 19291 Northline Rd, Southgate, MI 48195-2220 | 2008-07-17 |
| 1073776472 | Matthew Alan Halbany | Social Worker | 19291 Northline Rd, Southgate, MI 48195-2220 | 2008-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| 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 |
|---|---|---|---|---|
| 1730705245 | Mindful Connections LLC | Social Worker | 13559 Wesley St, Southgate, MI 48195-1716 | 2020-06-20 |
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1063949279 | Paula Marie Hernandez | Social Worker | 19275 Northline Rd Bldg 7, Southgate, MI 48195-2220 | 2017-05-18 |
| 1497290480 | Erica Crlencic | Social Worker | 15905 Waverly St, Southgate, MI 48195-3076 | 2016-12-29 |
| 1043623283 | Lindsey Duda | Social Worker | 13305 Reeck Road, Southgate, MI 48195-3197 | 2014-06-05 |
| 1386953511 | Rashida Folade Mcclure | Social Worker | 13330 Greenview Dr Apt 108, Southgate, MI 48195-3425 | 2010-10-06 |
| 1346556735 | Michelle Margaret Mertic | Social Worker | 13101 Allen Rd Ste 200, Southgate, MI 48195-2216 | 2010-08-24 |
| 1316126824 | Charlotte Beachem | Social Worker | 13305 Reeck Ct, Southgate, MI 48195 | 2007-10-31 |
| 1871719690 | Frank Steve Jacob | Social Worker | 13101 Allen Rd Bldg 4, Southgate, MI 48195-2216 | 2007-04-18 |
| 1225252562 | Elizabeth C. Davis | Social Worker | 19291 Northline Road, Southgate, MI 48195 | 2007-04-11 |
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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.