COLETTE KAITLYN COLZIM (NPI# 1316400914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316400914 |
| Entity Type | Individual |
| Full Name | COLETTE KAITLYN COLZIM |
| Practice Address |
114 Orchard Lake Rd Pontiac MI 48341-2244 |
| Mailing Address |
29904 Blossom Ln Warren MI 48088-5120 |
| Practice Telephone | 2488587766 |
| Mailing Telephone | 5865966094 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
MI | Behavioral Health & Social Service Providers | |
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
114 ORCHARD LAKE RD |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609892405 | Gary Michael Swarga | Social Worker | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2006-07-14 |
| 1992323281 | Jack Rodriguez | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2020-07-13 |
| 1225508450 | Ashley Kristine Polinski | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2018-11-30 |
| 1902387871 | Lyndsey Kondor | Social Worker | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2018-08-28 |
| 1588150767 | Danielle Klank | Social Worker | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2018-07-10 |
| 1346733128 | Zoe Maura Compton | Social Worker | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2018-06-07 |
| 1114430675 | Melanie Ann Watson | Case Manager/Care Coordinator | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2017-11-07 |
| 1356869101 | Jamie Louis Otter | Student in an Organized Health Care Education/Training Program | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2017-08-31 |
| 1851827448 | Rachel Ellen Young | Social Worker | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2017-05-03 |
| 1699216630 | Kristen Albright | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2017-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982853099 | Megan Frances Mc Ewen | Social Worker | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2008-09-12 |
| 1033368147 | Alissa Driscoll Jacobs | Social Worker | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2008-09-12 |
| 1063609378 | Ellen Maureen Cushing | Social Worker | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949390 | Livonia Public Schools School District | Social Worker | 8900 Newburgh Rd, Livonia, MI 48150-3425 | 2020-10-13 |
| 1336756253 | Michael Holtzman | Social Worker | 3008 Brockman Blvd, Ann Arbor, MI 48104-4717 | 2020-09-24 |
| 1023626488 | Foadeh Ali Yahya | Social Worker | 5133 Saint Lawrence St Apt 2, Detroit, MI 48210-2162 | 2020-07-21 |
| 1427682277 | Kaylyn Marie Hoy | Social Worker | 131 Fairview St, Hanover, MI 49241-9702 | 2020-03-02 |
| 1972152569 | Alcona Citizens for Health, Inc. | Social Worker | 375 Wilson St Rm 12a, Alpena, MI 49707-1423 | 2019-09-06 |
| 1568010288 | Alcona Citizens for Health, Inc. | Social Worker | 7667 Us Highway 23 N Rm 111, Alpena, MI 49707-7905 | 2019-08-27 |
| 1962050690 | Alcona Citizens for Health, Inc. | Social Worker | 12170 Us Highway 23 S Rm 205b, Ossineke, MI 49766-9776 | 2019-08-27 |
| 1104383215 | Tara Horton | Social Worker | 8216 S 35 Rd, Cadillac, MI 49601-8958 | 2019-02-25 |
| 1649753146 | Family Medical Center of Michigan,inc | Social Worker | 13000 Essex Ave Rm 211, Detroit, MI 48215-3243 | 2018-09-11 |
| 1942780077 | Jodi Lynn Huizinga | Social Worker | 356 1/2 N Main, Cedar Springs, MI 49319-9776 | 2018-08-17 |
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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.