JACQUELYNN AMALFITANO (NPI# 1215216015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215216015 |
Entity Type | Individual |
Full Name | JACQUELYNN AMALFITANO |
Credential | MSW, LLMSW |
Practice Address |
12800 E Warren Ave Detroit MI 48215-2061 |
Mailing Address |
24925 Beck Ave Eastpointe MI 48021-1463 |
Practice Telephone | 2484231728 |
Mailing Telephone | 5868724633 |
Enumeration Date | 2011-08-10 |
Last Update Date | 2013-06-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
6801093009 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
12800 E WARREN AVE |
City | DETROIT |
State | MI |
Zip Code | 48215-2061 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922037134 | Northeast Guidance Center | Psychiatry & Neurology | 12800 E Warren Ave, Detroit, MI 48215-2601 | 2006-07-01 |
1750994778 | Brianah Monique Hightower | Social Worker | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2020-08-28 |
1770192734 | Sylvia Antionette Turner | Psychiatry & Neurology | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2020-07-27 |
1326665696 | Ava R Foster | Registered Nurse | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2020-07-02 |
1134745144 | Ashley Coleman | Social Worker | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2020-06-25 |
1457974115 | Bessie Tyler | Peer Specialist | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2020-05-28 |
1417587080 | Cynethia Collins | Registered Nurse | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2020-01-22 |
1700426814 | Ileana Taylor | Registered Nurse | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2020-01-07 |
1760036255 | Matthew Lamonte Allen Sr. | Marriage & Family Therapist | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2019-08-01 |
1790339422 | Lori Denise Preston | Counselor | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2019-07-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
Find all providers in zip 48215 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194368985 | Marybeth Taylor | Specialist/Technologist | 261 Mack Ave # 215, Detroit, MI 48201-2417 | 2019-10-24 |
1932740776 | Tera D Winton | Specialist/Technologist | 9198 Grayton St, Detroit, MI 48224-1923 | 2019-10-02 |
1013471069 | Carlos Lamont Hamilton | Specialist/Technologist | 927 E Grand Blvd, Detroit, MI 48207-1964 | 2019-01-24 |
1639642895 | Robert Lee Wright | Specialist/Technologist | 20111 Mendota St, Detroit, MI 48221-1047 | 2019-01-09 |
1144772229 | David Robeson Vanzant | Specialist/Technologist | 19 Steve Yzerman Dr, Detroit, MI 48226-4428 | 2016-10-25 |
1326405762 | Brianna Nicole Gauna | Specialist/Technologist | 42 W Warren Ave, Detroit, MI 48201-1347 | 2016-01-15 |
1205985322 | Michael Chan | Specialist/Technologist | 5101 John C Lodge Fwy, 101 Matthaei Building, Detroit, MI 48202-3327 | 2007-01-09 |
1407904071 | Steven Bruce Carter | Specialist/Technologist | 2100 Woodward Ave, Detroit, MI 48201-3470 | 2007-01-08 |
1316094899 | Marcus Alexander Ebejer | Specialist/Technologist | 216 Mack Ave, Detroit, MI 48201 | 2007-01-05 |
1205852621 | Nicole L Schreiber | Specialist/Technologist | 6525 2nd Ave, Detroit, MI 48202-3006 | 2006-07-15 |
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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.