MS. KIM BETH KETOLA (NPI# 1326129750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326129750 |
Entity Type | Individual |
Full Name | MS. KIM BETH KETOLA |
Credential | LMSW |
Practice Address |
39520 Woodward Ave Suite 233 Bloomfield Hills MI 48304-5054 |
Mailing Address |
5316 Breeze Hill Pl Troy MI 48098-2725 |
Practice Telephone | 5862164553 |
Mailing Telephone | 5862164553 |
Enumeration Date | 2006-10-19 |
Last Update Date | 2011-03-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801066233 | MI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BLUE CROSS BLUE SHIELD | 0899799 | 01 |
Street Address |
39520 WOODWARD AVE SUITE 233 |
City | BLOOMFIELD HILLS |
State | MI |
Zip Code | 48304-5054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710957618 | Julie Ann Fattore | Dentist | 39520 Woodward Ave, Suite 105, Bloomfield Hills, MI 48304-5054 | 2006-01-24 |
1053709253 | Laura Espinosa Pllc | Clinic/Center | 39520 Woodward Ave, Suite 215, Bloomfield Hills, MI 48304-5054 | 2014-12-23 |
1295024487 | Kbk Counseling Services, P.C. | Social Worker | 39520 Woodward Ave, Suite 233, Bloomfield Hills, MI 48304-5054 | 2011-03-29 |
1154640688 | Darcy L Donnelly | Psychologist | 39520 Woodward Ave, Suite 233, Bloomfield Hills, MI 48304-5054 | 2010-05-24 |
1881918555 | Jocelyn Nicole Pachal | Counselor | 39520 Woodward Ave, Ste 210, Bloomfield Hills, MI 48304-5054 | 2010-03-24 |
1083628630 | Craig Mclean Hanson | Dentist | 39520 Woodward Ave, Suite 204, Bloomfield Hills, MI 48304-5054 | 2006-07-28 |
1649299504 | Firoza B. Van Horn, Psy., D., PC. | Clinical Neuropsychologist | 39520 Woodward Ave, Suite 210, Bloomfield Hills, MI 48304-5054 | 2006-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093346462 | Easy Living Assistance | Adult Companion | 41000 Woodward Ave Suite E 350, Bloomfield Twp, MI 48304 | 2020-02-04 |
1013499979 | Bloomfield Hills Dental Associates Pllc | Dentist | 36700 Woodward Avenue, Suite 200, Bloomfield Hills, MI 48304 | 2018-09-06 |
1780191965 | Donna Jane Bishop | Social Worker | 549 Kingsley Trail, Bloomfield Hills, MI 48304 | 2018-01-09 |
1750730636 | Rana Karcho | Occupational Therapist | 40800 Woodward Ave., Bloomfield Hills, MI 48304 | 2016-06-10 |
1447607684 | Jennifer Ramsey-martin | Technician, Other | 458 Fox Hills Dr. N. Apt #7, Bloomfield Hills, MI 48304 | 2016-05-18 |
1922438811 | Rachel Mary Eshkanian | Counselor | 41000 Woodward Avenue, Suite 350 East, Bloomfield Hills, MI 48304 | 2013-11-14 |
1578887535 | Earle W. Spohn Jr. D.o. P.C. | Surgery | 27 Balfour Dr, Bloomfield Hills, MI 48304 | 2010-03-19 |
1710110440 | John Hazlett Mclaughlin | Surgery | 756 Briar Hill Lane, Bloomfield Hills, MI 48304 | 2009-08-28 |
1710120597 | Bala Shanker Prasad | Orthopaedic Surgery | 264, Pine Ridge Dr, Bloomfield Hills, MI 48304 | 2009-04-09 |
1083862460 | Nermeen Hassan Elnabtity | Dentist | 950 Southdown Rd, Bloomfield Hills, MI 48304 | 2008-08-28 |
Find all providers in zip 48304 |
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 |
---|---|---|---|---|
1538780317 | Camille Romain | Social Worker | 6873 Vachon Dr, Bloomfield Hills, MI 48301-2942 | 2020-05-02 |
1598391609 | On The Couch LLC | Social Worker | 136 Belroi Pl, Bloomfield Hills, MI 48304-1600 | 2020-03-20 |
1780191965 | Donna Jane Bishop | Social Worker | 549 Kingsley Trail, Bloomfield Hills, MI 48304 | 2018-01-09 |
1699224030 | Adrienne Goloda | Social Worker | 1750 S Telegraph Rd Ste 102, Bloomfield Hills, MI 48302-0177 | 2016-09-27 |
1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
1720434426 | Wolverine Human Services | Social Worker | 43902 Woodward Ave Ste 100, Bloomfield Hills, MI 48302-5021 | 2016-05-11 |
1467819425 | Elizabeth Rose Eiten | Social Worker | 36800 Woodward Ave Ste 112, Bloomfield Hills, MI 48304-0916 | 2016-01-21 |
1891161121 | Amber Donahue | Social Worker | 297 Canterbury Rd, Bloomfield Hills, MI 48304-2919 | 2015-08-20 |
1316362072 | Laura Barnett | Social Worker | 2242 S Telegraph Rd, Suite 208, Bloomfield Hills, MI 48302 | 2014-03-04 |
1518307891 | Carolyn Roe Gier | Social Worker | 4425 Chisholm Trl, Bloomfield Hills, MI 48301-3750 | 2013-07-01 |
Find all providers in BLOOMFIELD HILLS |
City | BLOOMFIELD HILLS |
Zip Code | 48304 |
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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.