MS. REBEKAH LEE FATZINGER (NPI# 1235300294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235300294 |
| Entity Type | Individual |
| Full Name | MS. REBEKAH LEE FATZINGER |
| Credential | LLP, LMSW |
| Practice Address |
803 W Arlington St Bangor MI 49013-1108 |
| Mailing Address |
28143 Springbrook Dr Lawton MI 49065-9608 |
| Practice Telephone | 2694276810 |
| Mailing Telephone | 2696246153 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
6301006216 | MI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801063574 | MI | Behavioral Health & Social Service Providers |
| Street Address |
803 W ARLINGTON ST |
| City | BANGOR |
| State | MI |
| Zip Code | 49013-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871533166 | Angela Reed | Nurse Practitioner | 803 W Arlington St, Bangor Health Center, Bangor, MI 49013-1108 | 2006-06-07 |
| 1043330798 | Katherine M Radakovich | Dietitian, Registered | 803 W Arlington St, Bangor, MI 49013-1108 | 2007-03-29 |
| 1750438214 | Holly Husted | Nurse Practitioner | 803 W Arlington St, Bangor, MI 49013-1108 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237051 | Twin Doves I LLC | Community Based Residential Treatment Facility, Mental Illness | 48617 36th Ave., Bangor, MI 49013 | 2020-05-25 |
| 1629252895 | Van Buren Cass District Health Department | Community/Behavioral Health | 803 West Arlington, Bangor Health Center, Bangor, MI 49013 | 2007-12-24 |
| 1245426808 | Karen Lee Replogle | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2007-09-18 |
| 1518152560 | Virginia Douglas | Registered Nurse | 52101 34 Avenue, Bangor, MI 49013 | 2007-09-12 |
| 1992818835 | Intercare Community Health Network | Clinic/Center | 308 Charles St, Bangor, MI 49013 | 2006-08-16 |
| 1326058512 | Intercare Community Health Network | Clinic/Center | 50 Industrial Park Dr, Bangor, MI 49013 | 2006-08-09 |
| 1962439950 | Michele E Allen | Dentist | 308 Charles Street, Bangor, MI 49013 | 2006-06-27 |
| 1366051898 | Kasie M Broe | Social Worker | 52101 34th Avenue, Bangor, MI 49013 | 2020-07-30 |
| 1255985966 | Audria Gilliland | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2019-07-31 |
| 1417319476 | Terri Lynn Harbin Ilg | Dental Hygienist | 308 Charles Street, Intercare Community Health Network, Bangor, MI 49013 | 2016-03-28 |
| Find all providers in zip 49013 | ||||
| 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 |
|---|---|---|---|---|
| 1881231462 | Anne Elizabeth Chamberlain Small | Social Worker | 64 Joans Hill Rd, Bangor, ME 04401-2664 | 2019-12-03 |
| 1144733841 | James Butts | Social Worker | 615 Odlin Rd Ste 3, Bangor, ME 04401-6737 | 2017-11-16 |
| 1316459530 | Julia E Taner | Social Worker | 84 Sylvan Rd, Bangor, ME 04401-4221 | 2017-10-27 |
| 1821446485 | Justin James Umel | Social Worker | 45 Maple St, Bangor, ME 04401-5406 | 2016-05-24 |
| 1174994537 | Jeanette B. Rogers | Social Worker | 43 Columbia Street, Suite 11, Bangor, ME 04401 | 2015-10-12 |
| 1710392956 | Cynthia Michelle Peterson | Social Worker | 15 State St Ste 305, Bangor, ME 04401-5166 | 2014-06-26 |
| 1013343813 | Christine Ann Crittenden Richard | Social Worker | 38 Penn Plz Ste 5, Bangor, ME 04401 | 2013-09-25 |
| 1669720009 | Julie M Sichelstiel | Social Worker | 40 Summer Street 2nd Floor, Bangor, ME 04401-6446 | 2012-08-15 |
| 1952658890 | Cynthia Elaine Sturm | Social Worker | 81 Main St Suite 401, Bangor, ME 04401 | 2012-08-09 |
| 1275802381 | Katherine Anne Dobres-spang | Social Worker | 270 French St, Bangor, ME 04401-5015 | 2011-12-19 |
| Find all providers in BANGOR | ||||
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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.