MS. SHAWNTRELLE CONTESSA PETTIFORD (NPI# 1356782361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356782361 |
| Entity Type | Individual |
| Full Name | MS. SHAWNTRELLE CONTESSA PETTIFORD |
| Credential | LLMSW |
| Practice Address |
23 N Shirley St Pontiac MI 48342-2759 |
| Practice Telephone | 2486368814 |
| Mailing Telephone | 2486368814 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801094081 | MI | Behavioral Health & Social Service Providers |
| Street Address |
23 N SHIRLEY ST |
| City | PONTIAC |
| State | MI |
| Zip Code | 48342-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528589561 | Beloved Home Care LLC. | Home Health | 12 S Mill. St., Apt.314, Pontiac, MI 48342 | 2017-06-29 |
| 1518496942 | Boris Tkach | Student in an Organized Health Care Education/Training Program | 50 N. Perry, Pontiac, MI 48342 | 2017-06-08 |
| 1023547429 | Nicholas James Stepanski | Student in an Organized Health Care Education/Training Program | 50 N. Perry St., Pontiac, MI 48342 | 2017-06-08 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1134672868 | Shannon Blaine | Technician, Other | 103 Parkhurst Street, Pontiac, MI 48342 | 2016-07-29 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1205123361 | Mary Ellen Kenworthy | Emergency Medicine | 50 North Perry Street, Pontiac, MI 48342 | 2011-07-08 |
| 1740516343 | Nathima Habib Atchoo | Obstetrics & Gynecology | 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 | 2009-11-02 |
| 1881824233 | Sylvia Lyn Thompson | Physical Therapist | 900 Auburn Road, Pontiac, MI 48342 | 2009-07-20 |
| 1114154150 | Kyannah Toyann Anderson | Home Health | 175 S.edith St, Pontiac, MI 48342 | 2009-06-17 |
| Find all providers in zip 48342 | ||||
| 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 |
| 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 |
| 1487284873 | Roger Sherman II II | Social Worker | 1841 N Perry St, Pontiac, MI 48340-2235 | 2020-01-24 |
| 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.