JENETTA JOHNSON (NPI# 1265088470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265088470 |
| Entity Type | Individual |
| Full Name | JENETTA JOHNSON |
| Credential | LLMSW-CLINICAL |
| Practice Address |
1685 Baldwin Ave Ste 100 Pontiac MI 48340-1242 |
| Mailing Address |
201 N Squirrel Rd Apt 911 Auburn Hills MI 48326-4024 |
| Practice Telephone | 2487063450 |
| Mailing Telephone | 2489356083 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801104814 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1685 BALDWIN AVE STE 100 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48340-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336689868 | Karen Bennett | Counselor | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1115 | 2017-03-02 |
| 1063013126 | Erick Post | Case Manager/Care Coordinator | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2020-11-05 |
| 1083228670 | Lauren Margaret Smith | Case Manager/Care Coordinator | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2020-09-01 |
| 1376156919 | Larry G West II | Peer Specialist | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2020-08-24 |
| 1669096749 | Jordan Ramsey | Case Manager/Care Coordinator | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2020-06-03 |
| 1417595018 | Deshawnda Smith | Case Manager/Care Coordinator | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2019-12-13 |
| 1508400300 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2019-11-05 |
| 1790334670 | Sarah Westerman | Case Manager/Care Coordinator | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2019-09-04 |
| 1174179345 | Amber Janay Ivory | Case Manager/Care Coordinator | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2019-08-14 |
| 1366002537 | Angela S Jurgensen | Social Worker | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1115 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882799 | Maryan Luay Alkhoory | Dentist | 1620 N Perry St # 1, Pontiac, MI 48340 | 2018-05-26 |
| 1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
| 1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
| 1609237965 | Stephanie Stephan | Dentist | 1590 Baldwin Ave, Auburn Hills, MI 48340 | 2016-03-15 |
| 1376908921 | Jump Start LLC Maternal Infant Health Program | Exclusive Provider Organization | 1086 Williamson Cir, Pontiac, MI 48340 | 2015-12-28 |
| 1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
| 1104223544 | Tammy Fletcher | Registered Nurse | 1841 N Perry, Pontiac, MI 48340 | 2014-12-01 |
| 1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
| 1447583398 | Dial A Doc Physicians PC | Pain Medicine | 28 N Saginaw, Chase Building, Pontiac, MI 48340 | 2009-09-10 |
| 1619199171 | Jann E. Trzeciak | Family Medicine | 1915 N Perrt Street, Pontiac, MI 48340 | 2007-05-03 |
| Find all providers in zip 48340 | ||||
| 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 |
|---|---|---|---|---|
| 1104449958 | Shaquala Phillips | Social Worker | 666 Palmer Dr, Pontiac, MI 48342-1854 | 2020-05-27 |
| 1265955538 | Shanti Marie Turner | Social Worker | 26 N Shirley St, Pontiac, MI 48342-2758 | 2017-07-19 |
| 1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
| 1265982078 | Keon Sims | Social Worker | 185 Elizabeth Lake Rd, Pontiac, MI 48341-1010 | 2016-10-05 |
| 1275941551 | Lara Hatch | Social Worker | 1685 Baldwin Ave Ste A, Pontiac, MI 48340-1115 | 2014-07-30 |
| 1356782361 | Shawntrelle Contessa Pettiford | Social Worker | 23 N Shirley St, Pontiac, MI 48342-2759 | 2013-07-08 |
| 1972942795 | Larissa Anthea Heap | Social Worker | 51111 Woodward Ave, Pontiac, MI 48342-5036 | 2013-06-14 |
| 1710322185 | Constance Brown | Social Worker | 1015 University Dr, Pontiac, MI 48342-1869 | 2013-04-30 |
| 1003042755 | Melanie Barbara Snyder-lindblom | Social Worker | 300 W Huron St, Pontiac, MI 48341-1420 | 2009-06-09 |
| 1083826069 | Margaret M. Mcivor | Social Worker | 35 West Huron, Suite 10 South, Pontiac, MI 48342 | 2007-05-04 |
| Find all providers in PONTIAC | ||||
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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.