MICHAEL DEROSE (NPI# 1295101574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295101574 |
| Entity Type | Individual |
| Full Name | MICHAEL DEROSE |
| Credential | LCSW |
| Practice Address |
3805b Spring St Suite 320 Mount Pleasant WI 53405-1641 |
| Mailing Address |
3805b Spring St Ste 320 Mount Pleasant WI 53405-1644 |
| Practice Telephone | 2626872222 |
| Practice Fax Number | 2626878611 |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2019-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8319 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528106622 | Michael Anthony Derose | Marriage & Family Therapist | 440 E Canal Dr, Turlock, CA 95380-3936 | 2007-02-01 |
| 1558380451 | Michael Stuart Derose | Chiropractor | 1360 Beverly Rd, Suite 102, Mclean, VA 22101-3643 | 2006-07-19 |
| 1417581646 | Michael Derose | Occupational Therapy Assistant | 1200 Quail St Ste 100, Newport Beach, CA 92660-2706 | 2020-02-26 |
| 1033185871 | Michael Anthony Derose | Dentist | 1022 Liberty Ln, Pueblo, CO 81001-2039 | 2006-02-23 |
| Street Address |
3805B SPRING ST SUITE 320 |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53405-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841631116 | Shin-ye Kim | Student in an Organized Health Care Education/Training Program | 3805b Spring St, Mount Pleasant, WI 53405-1641 | 2013-07-15 |
| 1568605616 | William Paul Bake | Psychiatry & Neurology | 3805b Spring St, Mount Pleasant, WI 53405-1641 | 2009-04-18 |
| 1508042060 | Radha Krishna Sanka | Ophthalmology | 3805b Spring St, Mount Pleasant, WI 53405-1641 | 2008-01-15 |
| 1922207778 | Ashley A Cyr | Physician Assistant | 3805b Spring St, Suite 230 Attn: Hazel Johnson, Mount Pleasant, WI 53405-1641 | 2007-07-12 |
| 1194892265 | Drs Decheck and Mataczynski Md Sc | Family Medicine | 3805b Spring St, Suite250, Mount Pleasant, WI 53405-1641 | 2006-11-30 |
| 1205935681 | James Scarpaci | Social Worker | 3805b Spring St, Suite 20, Mount Pleasant, WI 53405-1641 | 2006-09-21 |
| 1598703910 | Caleb R Lippman | Neurological Surgery | 3805b Spring St, Suite 320, Mount Pleasant, WI 53405-1641 | 2006-06-04 |
| 1285613109 | James Dean Mataczynski | Family Medicine | 3805b Spring St, Suite 250, Mount Pleasant, WI 53405-1641 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| 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 |
|---|---|---|---|---|
| 1508471475 | Beth Allison Ringel | Social Worker | 2108 Andover Way, Mount Pleasant, SC 29466-6997 | 2020-09-08 |
| 1679130645 | Stefanie S Smith | Social Worker | 1488 S Winn Rd, Mount Pleasant, MI 48858-8235 | 2019-05-24 |
| 1821655184 | Kaylee Johnson | Social Worker | 8800 Washington Ave Ste 300, Mount Pleasant, WI 53406-3705 | 2019-05-22 |
| 1669948899 | Christopher Clark Hawk | Social Worker | 120 S 100 W, Mount Pleasant, UT 84647-1509 | 2018-10-15 |
| 1457890493 | Bethany T Bojcic | Social Worker | 8800 Washingotn Avenue, Suite 100, Mount Pleasant, WI 53406-3705 | 2017-02-22 |
| 1437694676 | Caitlin Kratz | Social Worker | 1345 Roddington St, Mount Pleasant, SC 29464-3913 | 2016-12-26 |
| 1649722844 | Shana Rachelle Sills | Social Worker | 1300 W 16th St, Mount Pleasant, TX 75455-2046 | 2016-11-04 |
| 1598121204 | Deborah Brunner | Social Worker | 1060 Cliffwood Dr Ste B, Mount Pleasant, SC 29464-3687 | 2016-01-11 |
| 1538533153 | Acs Inc. | Social Worker | 407 E Broadway St, Mount Pleasant, MI 48858-2649 | 2015-11-19 |
| 1023487519 | Tabitha Nichole Cook | Social Worker | 8894 Oldenburg Dr, Mount Pleasant, NC 28124-8543 | 2015-09-15 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53405 |
Please comment or provide details below to improve the information on MICHAEL DEROSE.
| 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.