ALEXANDRA KINGMA (NPI# 1386107902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386107902 |
| Entity Type | Individual |
| Full Name | ALEXANDRA KINGMA |
| Practice Address |
310 E Torrance Ave Pontiac IL 61764-2748 |
| Mailing Address |
Po Box 768 Pontiac IL 61764-0768 |
| Practice Telephone | 8158446109 |
| Practice Fax Number | 8158443561 |
| Mailing Telephone | 8158446109 |
| Mailing Fax Number | 8158443561 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | IL | Behavioral Health & Social Service Providers |
| Street Address |
310 E TORRANCE AVE |
| City | PONTIAC |
| State | IL |
| Zip Code | 61764-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649239674 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2006-03-20 |
| 1518574938 | Sydni Lee Neal | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-09-29 |
| 1558978965 | Kimberly Ezzo | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-09-29 |
| 1376152975 | Sarah E Vitzthum | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-07-29 |
| 1063054724 | Rachel Boros | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-10-15 |
| 1417599176 | Kelsey Ann Anello | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-10-15 |
| 1972150456 | Allison Hart | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-08-20 |
| 1477106003 | Kevin Steidinger | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-07-23 |
| 1144783762 | Alyssa Ross | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-04-10 |
| 1174086797 | Jaycee Leonard | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1407287121 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 301 E Torrance Ave, Pontiac, IL 61764 | 2013-12-05 |
| 1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
| 1871739185 | Woodridge of Ponitac LLC | Assisted Living Facility | 120 North Deerfield Road, Pontiac, IL 61764 | 2008-12-17 |
| 1861601171 | William Earl Hammond | Chiropractor | 210b Ladd, Pontiac, IL 61764 | 2007-05-22 |
| 1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
| 1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
| 1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
| 1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| 1710081708 | Kenneth N Jordan | Family Medicine | 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| Find all providers in zip 61764 | ||||
| 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 |
| 1356782361 | Shawntrelle Contessa Pettiford | Social Worker | 23 N Shirley St, Pontiac, MI 48342-2759 | 2013-07-08 |
| 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 |
| 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.