KASIE M BROE (NPI# 1366051898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366051898 |
| Entity Type | Individual |
| Full Name | KASIE M BROE |
| Other Name | KASIE M WALTERS |
| Credential | LLMSW |
| Practice Address |
52101 34th Avenue Bangor MI 49013 |
| Mailing Address |
Po Box 249 Paw Paw MI 49079-0249 |
| Practice Telephone | 2694275671 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801107291 | MI | Behavioral Health & Social Service Providers |
| Street Address |
52101 34TH AVENUE |
| City | BANGOR |
| State | MI |
| Zip Code | 49013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245426808 | Karen Lee Replogle | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2007-09-18 |
| 1255985966 | Audria Gilliland | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2019-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237051 | Twin Doves I LLC | Community Based Residential Treatment Facility, Mental Illness | 48617 36th Ave., Bangor, MI 49013 | 2020-05-25 |
| 1629252895 | Van Buren Cass District Health Department | Community/Behavioral Health | 803 West Arlington, Bangor Health Center, Bangor, MI 49013 | 2007-12-24 |
| 1518152560 | Virginia Douglas | Registered Nurse | 52101 34 Avenue, Bangor, MI 49013 | 2007-09-12 |
| 1992818835 | Intercare Community Health Network | Clinic/Center | 308 Charles St, Bangor, MI 49013 | 2006-08-16 |
| 1326058512 | Intercare Community Health Network | Clinic/Center | 50 Industrial Park Dr, Bangor, MI 49013 | 2006-08-09 |
| 1962439950 | Michele E Allen | Dentist | 308 Charles Street, Bangor, MI 49013 | 2006-06-27 |
| 1417319476 | Terri Lynn Harbin Ilg | Dental Hygienist | 308 Charles Street, Intercare Community Health Network, Bangor, MI 49013 | 2016-03-28 |
| 1891185765 | Teresa Ansinn | Nurse Practitioner | 50 Industrial Park Rd, Bangor, MI 49013 | 2015-01-30 |
| 1093985087 | Nancy Lou Grib | Registered Nurse | 52101 34 Avenue, Bangor, MI 49013 | 2008-03-05 |
| 1245412311 | Tracy L Maggs | Dental Hygienist | 308 Charles St, Bangor, MI 49013 | 2007-11-30 |
| Find all providers in zip 49013 | ||||
| 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 |
|---|---|---|---|---|
| 1750896312 | Savanna Rae Power | Social Worker | 1200 Ohio St., Bangor, ME 04402 | 2017-12-05 |
| 1265983290 | Alison S Mitchell | Social Worker | 61 Main St Ste 60, Bangor, ME 04401-6469 | 2016-10-14 |
| 1609210400 | Leroy Freeman Jr. | Social Worker | 32001 County Road 687, Bangor, MI 49013-9476 | 2013-04-23 |
| 1306141593 | Sean E Weber | Social Worker | 370 Harlow St, Bangor, ME 04401-4908 | 2011-01-19 |
| 1487975801 | Angela Madden | Social Worker | 444 Stillwater Avenue, Suite 204, Kidspeace National Centers of New England, Inc., Bangor, ME 04401 | 2010-06-21 |
| 1740470871 | Eric C Taylor | Social Worker | 88 Hammond, Suite 201, Bangor, ME 04401 | 2007-07-25 |
| 1275660979 | Manna Inc | Social Worker | 629 Main Street, Bangor, ME 04401 | 2007-02-28 |
| 1891855920 | Leta Myers | Social Worker | 263 State St Ste 23, Bangor, ME 04401-5438 | 2006-12-11 |
| 1902917198 | Carol Romeo Veits | Social Worker | 96 Harlow St Ste 221, Bangor, ME 04401 | 2006-08-31 |
| 1144866633 | Emily Yenco | Social Worker | 268 Stillwater Ave, Bangor, ME 04401-3945 | 2019-11-20 |
| Find all providers in BANGOR | ||||
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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.