CHALISA SHARISE-RENEE PHIPPS (NPI# 1376847442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376847442 |
| Entity Type | Individual |
| Full Name | CHALISA SHARISE-RENEE PHIPPS |
| Practice Address |
79 W. Alexandrine Detroit MI 48201 |
| Practice Telephone | 3138315535 |
| Practice Fax Number | 3138312608 |
| Mailing Telephone | 3138315535 |
| Mailing Fax Number | 3138312608 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2015-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | P120115765767 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MICHIGAN DEPT OF LICENSING AND REGULATORY AFFAIRS | 6801094959 | 01 |
| Street Address |
79 W. ALEXANDRINE |
| City | DETROIT |
| State | MI |
| Zip Code | 48201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871741934 | Crystal Yvonne Coleman | Psychologist | 79 W. Alexandrine, Detroit, MI 48201 | 2008-09-03 |
| 1417471947 | The Children's Center | Case Management | 79 W. Alexandrine, Detroit, MI 48201 | 2017-07-26 |
| 1134642424 | Veronica Gonzales | Behavior Technician | 79 W. Alexandrine, Detroit, MI 48201 | 2017-07-19 |
| 1124472279 | Aasha Saraswati Shonek | Case Manager/Care Coordinator | 79 W. Alexandrine, Detroit, MI 48201 | 2016-04-14 |
| 1730565565 | Sheair Toyva Smith | Social Worker | 79 W. Alexandrine, Detroit, MI 48201 | 2015-08-04 |
| 1528441151 | Meaghan Fortsch | Social Worker | 79 W. Alexandrine, Detroit, MI 48201 | 2015-07-01 |
| 1427441708 | Cheyenne Schultz | Social Worker | 79 W. Alexandrine, Detroit, MI 48201 | 2015-03-11 |
| 1508289786 | Katherine Elizabeth Bono | Social Worker | 79 W. Alexandrine, Detroit, MI 48201 | 2014-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| 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 |
|---|---|---|---|---|
| 1497363758 | Ana H Calandrino | Social Worker | 155 W Congress St Ste 206, Detroit, MI 48226-3200 | 2020-07-22 |
| 1295352532 | Laysha Cooks | Social Worker | 18638 Hartwell St, Detroit, MI 48235-1345 | 2020-07-02 |
| 1851922892 | Celeste Gaskin | Social Worker | 9103 Longworth St, Detroit, MI 48209-1717 | 2020-01-29 |
| 1619526100 | Diamond Adult Foster and Respite Homes LLC | Social Worker | 8028 Middlepoint St, Detroit, MI 48204-3132 | 2019-09-06 |
| 1083269922 | Amelia Mariah Allen | Social Worker | 13511 Archdale St, Detroit, MI 48227-1335 | 2019-08-07 |
| 1942853023 | Eshe Institute LLC | Social Worker | 19600 Grand River Ave, Detroit, MI 48223-1280 | 2019-07-18 |
| 1013569920 | Tatyana Aubrey Pryor | Social Worker | 6821 Medbury St, Detroit, MI 48211-3317 | 2019-07-10 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1902464969 | Michanda Gant | Social Worker | 18244 W Mcnichols Rd, Detroit, MI 48219-4163 | 2019-06-04 |
| Find all providers in DETROIT | ||||
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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.