MR. TIMOTHY PATRICK EGAN JR. (NPI# 1356811129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356811129 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY PATRICK EGAN JR. |
| Practice Address |
13333 Allen Rd Southgate MI 48195-2216 |
| Mailing Address |
26098 E Huron River Dr Flat Rock MI 48134-1256 |
| Practice Telephone | 7347857700 |
| Mailing Telephone | 2484590022 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801102142 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033779269 | Timothy James Egan | Physician Assistant | 800 Rose St, Room M53, Lexington, KY 40536-0298 | 2019-06-19 |
| 1447434428 | Timothy G Egan | Internal Medicine | 3300 Main St, 2nd Floor, Suite A, Springfield, MA 01107-1112 | 2007-12-26 |
| 1043358922 | Timothy James Egan | Otolaryngology | 3299 Woodburn Rd, Annandale, VA 22003-1275 | 2007-02-02 |
| 1093881104 | Timothy John Egan | Psychiatry & Neurology | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-11-28 |
| 1164499752 | Timothy G. Egan | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-2130 | 2006-03-02 |
| Street Address |
13333 ALLEN RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881944981 | Gyda Dogg Einarsdottir | Student in an Organized Health Care Education/Training Program | 13333 Allen Rd, Southgate, MI 48195-2216 | 2012-09-16 |
| 1871140905 | Amy Wilson | Counselor | 13333 Allen Rd, Southgate, MI 48195-2216 | 2019-08-22 |
| 1588228365 | Jessica Collins | Counselor | 13333 Allen Rd, Southgate, MI 48195-2216 | 2019-04-26 |
| 1629550926 | Nicole Elizabeth Mazur | Psychologist | 13333 Allen Rd, Southgate, MI 48195-2216 | 2018-09-04 |
| 1710478821 | Reem Nasr | Psychologist | 13333 Allen Rd, Southgate, MI 48195-2216 | 2018-05-24 |
| 1033619234 | Bianca Lenise Smith | Social Worker | 13333 Allen Rd, Southgate, MI 48195-2216 | 2018-02-15 |
| 1205363587 | Erika Marie Lawnicki | Student in an Organized Health Care Education/Training Program | 13333 Allen Rd, Southgate, MI 48195-2216 | 2017-05-17 |
| 1750818134 | Ariel Baranowski | Student in an Organized Health Care Education/Training Program | 13333 Allen Rd, Southgate, MI 48195-2216 | 2017-05-17 |
| 1508213224 | Alysia Haddix | Student in an Organized Health Care Education/Training Program | 13333 Allen Rd, Southgate, MI 48195-2216 | 2016-05-23 |
| 1780045104 | Lakenya Hill | Community Health Worker | 13333 Allen Rd, Southgate, MI 48195-2216 | 2016-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| 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 |
|---|---|---|---|---|
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1891213146 | Brittany Rina Mcmahon | Social Worker | 13111 Allen Rd, Southgate, MI 48195-2216 | 2017-09-07 |
| 1538512116 | Lori Susan Stovall | Social Worker | 16750 Quarry Rd Apt C1, Southgate, MI 48195-1446 | 2016-07-19 |
| 1811385446 | Randy Sidebottom | Social Worker | 15431 Dix Toledo Rd, Southgate, MI 48195-2662 | 2015-01-06 |
| 1154729275 | Amber Leigh Marie Hickman | Social Worker | 1 Heritage Dr Ste 520, Southgate, MI 48195-3051 | 2014-12-06 |
| 1518222942 | Sarah Marie Sukumaran | Social Worker | 18635 Bowie St., The Guidance Center, Southgate, MI 48195-5121 | 2012-07-11 |
| 1326313347 | Cherish Laverne Thomas | Social Worker | 13360 Greenview Dr, Apt 202, Southgate, MI 48195-3472 | 2012-03-09 |
| 1841560463 | Krystal Faye Stump | Social Worker | 13099 Allen Rd Bldg 3, Southgate, MI 48195-3099 | 2012-01-12 |
| 1306012570 | Lisa Michon Reid | Social Worker | 15601 Northline, Southgate, MI 48195 | 2008-05-07 |
| 1669643409 | Amanda Byrnes | Social Worker | 15601 Northline Rd, Southgate, MI 48195-2334 | 2008-03-20 |
| Find all providers in SOUTHGATE | ||||
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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.