AMANDA LYNN CISSE (NPI# 1306186812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306186812 |
| Entity Type | Individual |
| Full Name | AMANDA LYNN CISSE |
| Credential | MSW |
| Practice Address |
439 S Ross St Beaverton MI 48612-9101 |
| Mailing Address |
9249 W Lake City Rd Houghton Lake MI 48629-9602 |
| Practice Telephone | 9894225122 |
| Mailing Telephone | 9894225122 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801091799 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 725 E State St, Sterling, MI 486599548 | 9896542491 | 9896542348 |
| Street Address |
439 S ROSS ST |
| City | BEAVERTON |
| State | MI |
| Zip Code | 48612-9101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366484271 | Danny D Greig II | Emergency Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2006-06-12 |
| 1972073807 | Jenna M Mccummings | Nurse Practitioner | 439 S Ross St, Beaverton, MI 48612-9101 | 2018-12-04 |
| 1982139382 | Cara Lee Crawford-bartle | Family Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2017-04-24 |
| 1194174623 | Brooke Illig | Social Worker | 439 S Ross St, Beaverton, MI 48612-9101 | 2016-06-06 |
| 1275936445 | Susan M Knoerr | Nurse Practitioner | 439 S Ross St, Beaverton, MI 48612-9101 | 2014-10-02 |
| 1740528900 | Community Mental Health for Central Michigan | Clinic/Center | 439 S Ross St, Beaverton, MI 48612-9101 | 2013-01-23 |
| 1114278140 | Midmichigan Health Services | Clinic/Center | 439 S Ross St, Beaverton, MI 48612-9101 | 2012-10-01 |
| 1407169832 | Ann Marie Roehrs | Nurse Practitioner | 439 S Ross St, Midmichigan Medical Offices-beaverton, Beaverton, MI 48612-9101 | 2010-07-14 |
| 1346552718 | Vinosha Balakrishnan | Family Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2010-07-13 |
| 1356400923 | Steven Woodward Picard | Family Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457872525 | Candy Rene Simpson | Behavioral Analyst | 385 W Brown St, Beaverton, MI 48612 | 2017-06-29 |
| 1982975397 | Midmichigan Medical Center Gladwin | Clinic/Center | 439 South Ross Street, Beaverton, MI 48612 | 2012-01-17 |
| 1477738961 | Dr. Dale J Moser Od | Eyewear Supplier (Equipment, not the service) | 334 N Ross, Beaverton, MI 48612 | 2008-01-03 |
| 1285186486 | Cheryl Ann Biddinger | Counselor | 201 S Ross St, Beaverton, MI 48612 | 2016-11-04 |
| 1134276371 | Arlene Lynn Krager | Counselor | 201 S Ross St, Beaverton, MI 48612-8113 | 2007-01-03 |
| 1245731280 | Jessica Sullivan | Physical Therapist | 106 Tonkin St, Beaverton, MI 48612-8116 | 2018-02-26 |
| 1497844047 | The Beaverton Pharmacy Inc | Pharmacy | 127 W Brown St, Beaverton, MI 48612-8119 | 2006-10-12 |
| 1760424972 | Richard A Call | Physician Assistant | 129 W Brown St, Beaverton, MI 48612-8119 | 2006-06-12 |
| 1285182899 | Family Health & Wellness P.C. | Physician Assistant | 129 W Brown St, Beaverton, MI 48612-8119 | 2016-09-13 |
| 1952858987 | Family Health & Wellness PC | Clinic/Center | 129 W Brown St, Beaverton, MI 48612-8119 | 2016-09-07 |
| Find all providers in zip 48612 | ||||
| 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 |
|---|---|---|---|---|
| 1457811887 | Gareth Robert Smith | Social Worker | 14825 Sw Farmington Rd, Beaverton, OR 97007-2724 | 2019-03-21 |
| 1003373101 | Carla E Fadriquela | Social Worker | 2980 Sw 123rd Ave, Beaverton, OR 97005-1325 | 2019-02-25 |
| 1144795477 | Madilyn Long | Social Worker | 4900 Sw Griffith Dr Ste 249, Beaverton, OR 97005-4648 | 2018-10-13 |
| 1689058794 | Susan Driver | Social Worker | 14631 Sw Millikan Way # 8, Beaverton, OR 97003-2999 | 2015-07-17 |
| 1740615848 | Krystal Karin Ashling | Social Worker | 4895 Sw Normandy Pl, 4895 Sw Normandy Place, Beaverton, OR 97005 | 2013-09-08 |
| 1174825350 | Debbie Yoro | Social Worker | 10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, OR 97005-4791 | 2010-11-22 |
| 1679883383 | Pamela Lynn Mottola | Social Worker | 14255 Sw Brigadoon Court, Beaverton, OR 97005 | 2010-10-15 |
| 1134434061 | Emily Kirsten Haug | Social Worker | 15455 Nw Greenbrier Pkwy Ste 112, Beaverton, OR 97006-8115 | 2010-08-16 |
| 1497994115 | Janice Eaton-bennette | Social Worker | 3900 Sw Murray Blvd Ste 100, Beaverton, OR 97005-2454 | 2009-02-19 |
| 1790922235 | Kelly Lynn Gilmore | Social Worker | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2009-01-20 |
| Find all providers in BEAVERTON | ||||
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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.