MR. DENNIS J GLANDON (NPI# 1366496051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366496051 |
| Entity Type | Individual |
| Full Name | MR. DENNIS J GLANDON |
| Credential | CSW LPC |
| Practice Address |
1200 N West Ave Suite 400 Jackson MI 49202-2179 |
| Practice Telephone | 5177803336 |
| Practice Fax Number | 5177964561 |
| Mailing Telephone | 5177803336 |
| Mailing Fax Number | 5177964561 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 6301002109 | MI | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 6801016082 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | TRADITIONAL BLUE CROSS B | 8008970870 | 01 |
| MI | VALUE OPTOINS STATE OF MI | 041285 | 01 |
| Street Address |
1200 N WEST AVE SUITE 400 |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-2179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084810 | Sarah Lynn Ackerman | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-08-19 |
| 1265055925 | Kelly Ann Parten | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-05-28 |
| 1568084143 | James L Horrigan II | Social Worker | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-05-18 |
| 1821619099 | Kimberly Kay Bomar | Social Worker | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-04-29 |
| 1255951281 | Stephanie Elizabeth Goodrich | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-04-20 |
| 1104463306 | Chad Lige | Health Educator | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-12-06 |
| 1578100244 | Vickie Lynn Kittle | Peer Specialist | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-12-02 |
| 1710522701 | Crystal Ann Chaffee | Social Worker | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-11-13 |
| 1184269169 | Stephanie Leeann Justice | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-11-13 |
| 1366086969 | Marguerite Mavourneen Taylor | Social Worker | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| 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 |
|---|---|---|---|---|
| 1750989612 | Rhonda Bufkin | Social Worker | 405 Briarwood Dr Ste 302, Jackson, MS 39206-3052 | 2020-10-13 |
| 1023645884 | Cycle of Life Support Community Health Services LLC | Social Worker | 1520 E Ganson St, Jackson, MI 49202-3530 | 2020-03-23 |
| 1669006532 | Alexis Holly | Social Worker | 405 Briarwood Dr # 302, Jackson, MS 39206-3052 | 2020-02-28 |
| 1609418250 | Ashley Frascella | Social Worker | 13 Parkhill St, Jackson, NJ 08527-3737 | 2019-10-16 |
| 1104475268 | Valerie Baker | Social Worker | 172 W University Pkwy Ste A, Jackson, TN 38305-1622 | 2019-09-10 |
| 1548815863 | Lily Kovach | Social Worker | 6552 Smith Rd, Jackson, MI 49201-9612 | 2019-08-04 |
| 1285298513 | Kyla Milan Washington | Social Worker | 950 W Monroe St Ste 600a&b, Jackson, MI 49202-2079 | 2019-04-22 |
| 1639630551 | Pamela Stalter-o'neil | Social Worker | 5572 Viking Dr, Jackson, MI 49201-8815 | 2019-03-26 |
| 1407316284 | Yvonne Vieira Moffett | Social Worker | 950 W Monroe St Ste A&600b, Jackson, MI 49202-2079 | 2019-03-20 |
| 1710458419 | Jasmine Grace Walker | Social Worker | 338 Galvez St, Jackson, MS 39209-3903 | 2018-12-06 |
| Find all providers in JACKSON | ||||
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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.