PATRICIA WILLIS (NPI# 1255762225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255762225 |
| Entity Type | Individual |
| Full Name | PATRICIA WILLIS |
| Credential | LLBSW |
| Practice Address |
10 Peterboro St Detroit MI 48201-2722 |
| Practice Telephone | 3138313160 |
| Practice Fax Number | 3138334624 |
| Mailing Telephone | 3138313160 |
| Mailing Fax Number | 3138334624 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2018-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801101658 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111009 | Patricia Willis | Licensed Practical Nurse | 18650 Lauder St, Detroit, MI 48235-2758 | 2018-04-06 |
| 1851564660 | Patricia Lorraine Willis | Speech-Language Pathologist | 1108 Grant St, Waukesha, WI 53186-6321 | 2008-04-12 |
| 1720250384 | Patricia Ann Willis | Registered Nurse | 3458 Westwood Dr, Salt Lake City, UT 84109-3239 | 2008-03-24 |
| 1386869329 | Patricia Hutcheson Willis | Physical Therapist | 147 Roe Hampton Ln, Stone Mountain, GA 30087-2503 | 2007-04-16 |
| 1811062359 | Patricia Willis | Respite Care | 541 N Lewis, Mesa, AZ 85201-5910 | 2006-11-21 |
| 1356801856 | Patricia Ann Willis | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-03-21 |
| 1720565120 | Patricia M. Willis | Pharmacist | 80 Town Line Rd, Rocky Hill, CT 06067-1249 | 2018-07-27 |
| 1538559497 | Patricia Willis | Counselor | 420 Kellogg Ave, Ames, IA 50010-6226 | 2015-01-30 |
| 1457752628 | Patricia Ann Willis | Nurse Practitioner | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2014-09-08 |
| 1871620583 | Patricia Ann Willis | Psychologist | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2007-02-28 |
| Street Address |
10 PETERBORO ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508955733 | Samuel A. Klein | Psychiatry & Neurology | 10 Peterboro St, Detroit, MI 48201-2722 | 2006-10-12 |
| 1548869258 | Nakita M Currie | Social Worker | 10 Peterboro St, Detroit, MI 48201-2722 | 2020-10-23 |
| 1568079010 | Paul Anthony Campbell | Social Worker | 10 Peterboro St, Detroit, MI 48201-2722 | 2020-09-29 |
| 1508473463 | Aarin-earl Pesko-morales | Registered Nurse | 10 Peterboro St, Detroit, MI 48201-2722 | 2020-09-24 |
| 1346856945 | Delicia Janette Parker | Social Worker | 10 Peterboro St, Detroit, MI 48201-2722 | 2020-09-18 |
| 1548875859 | Lauren Marie Buchowski | Social Worker | 10 Peterboro St, Detroit, MI 48201-2722 | 2020-09-14 |
| 1447865340 | Annamarie F Green | Social Worker | 10 Peterboro St, Detroit, MI 48201-2722 | 2020-09-09 |
| 1841804275 | Jonathan Laye | Social Worker | 10 Peterboro St, Detroit, MI 48201-2722 | 2020-09-02 |
| 1316568884 | Elijah Dooley | Licensed Practical Nurse | 10 Peterboro St, Detroit, MI 48201-2722 | 2020-05-06 |
| 1992324511 | Lovilly Nickerson | Social Worker | 10 Peterboro St, Detroit, MI 48201-2722 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| 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 |
|---|---|---|---|---|
| 1457958811 | Jeana L Rooks | Social Worker | 19340 Riverview St, Detroit, MI 48219-4684 | 2020-10-07 |
| 1457966749 | Crystal Radford | Social Worker | 229 Riverside Dr, Detroit, MI 48215-3010 | 2020-09-13 |
| 1285248799 | Lachonta Alise Conley | Social Worker | 12594 Promenade St, Detroit, MI 48213-1416 | 2020-09-02 |
| 1780297754 | Simone D Yancy | Social Worker | 14247 Riverview St, Detroit, MI 48223-2414 | 2020-08-28 |
| 1104435460 | Goddess Great | Social Worker | 17163 E Warren Ave, Detroit, MI 48224-2279 | 2020-07-23 |
| 1710501689 | Matthew Vanderwindt | Social Worker | 3554 Yorkshire Rd, Detroit, MI 48224-2324 | 2020-06-05 |
| 1669091286 | Evan Theodore Fulford | Social Worker | 19928 Lichfield Rd, Detroit, MI 48221-1363 | 2020-04-14 |
| 1669001335 | Eric Allan Haynes | Social Worker | 1454 Strathcona Dr, Detroit, MI 48203-1464 | 2020-04-05 |
| 1629601729 | Stephanie Beaton | Social Worker | 3011 W Grand Blvd Ste 406, Detroit, MI 48202-3011 | 2020-02-17 |
| 1871125781 | Amalia S Miralrio | Social Worker | 1214 Griswold St Apt 805, Detroit, MI 48226-1816 | 2020-02-08 |
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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.