MOSAIC MISSION (NPI# 1417503335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417503335 |
| Entity Type | Organization |
| Organization Name | MOSAIC MISSION |
| Practice Address |
2927 Glenbroke St Keego Harbor MI 48320-1102 |
| Practice Telephone | 7349725679 |
| Mailing Telephone | 7349725679 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | KIMBERLY D KELLER (OWNER) |
| Authorized Official Telephone | 7349725679 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MOSAIC MISSIONS, USA | 1672 West Canal Circle, Unit 428, Littleton, CO 80120 |
| Street Address |
2927 GLENBROKE ST |
| City | KEEGO HARBOR |
| State | MI |
| Zip Code | 48320-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301158 | Suhila Cassini | Counselor | 3297 Orchard Lake Rd, Ste 107, Keego Harbor, MI 48320 | 2020-06-22 |
| 1619042777 | Julius James Sonkiss | Dentist | 3467 Orchard Lake Road, Keego Harbor, MI 48320 | 2006-11-22 |
| 1083612840 | Mohammad Nurul Amin | Family Medicine | 2157 Orchard Lake Drive, Sylvan Lake, MI 48320 | 2005-07-14 |
| 1669850830 | Kathryn Fawcett | Physical Therapist | 2700 Orchard Lake Rd, Keego Harbor, MI 48320 | 2015-05-08 |
| 1487843348 | Mariola Beata Vanderest | Physical Therapist | 2141 Cass Lake Rd, Suite 107, Keego Harbor, MI 48320 | 2007-10-17 |
| 1396941332 | Issam S Asad | General Practice | 3435 Orchard Lake Rd, Keego Harbor, MI 48320 | 2007-06-26 |
| 1205050994 | Ahmad M Hadied | Orthopaedic Surgery | 3435 Orchard Lake Rd, Keego Harbor, MI 48320 | 2007-04-12 |
| 1427272608 | Robert Bahman Khodadadeh | Dentist | 3435 Orchard Lake Rd, Keego Harbor, MI 48320 | 2007-04-12 |
| 1447336128 | Mark I Rosenberg Dds PC | Dentist | 2819 Orchard Lake Rd, Keego Harbor, MI 48320 | 2006-10-27 |
| 1609887769 | Lydia Geraldine Vitale-loeschner | Physical Therapist | 2700 Orchard Lake Rd, Keego Harbor, MI 48320 | 2006-08-11 |
| Find all providers in zip 48320 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346546934 | Cory Mullins | Social Worker | 1711 Cass Lake Rd, Keego Harbor, MI 48320-1047 | 2011-01-31 |
| 1932504933 | Cory J Mullins, LLC | Social Worker | 1711 Cass Lake Rd, Keego Harbor, MI 48320-1047 | 2014-11-03 |
| 1922446194 | Stacey Sandler | Social Worker | 2900 Orchard Lake Rd, Keego Harbor, MI 48320-1472 | 2013-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629886 | Suzanne Mcnees | Social Worker | 7373 Morgan Rd E, Battle Creek, MI 49017-9705 | 2020-11-07 |
| 1366043408 | Azeldri Van Der Wath | Social Worker | 41423 Ambercrest Dr, Sterling Heights, MI 48314-3719 | 2020-11-05 |
| 1972104834 | Anne Elizabeth Rife | Social Worker | 4660 Marsh Rd Ste 27, Okemos, MI 48864-2143 | 2020-11-05 |
| 1952902199 | Nakedae R. Cooper | Social Worker | 5847 S Mohawk Ave, Ypsilanti, MI 48197-7119 | 2020-11-04 |
| 1104427368 | Kizzy Nieves | Social Worker | 52280 Cedar Mill Dr, Macomb, MI 48042-5658 | 2020-11-04 |
| 1225639560 | Ananya Avinash | Social Worker | 235 Olivia Ct Nw, Grand Rapids, MI 49504-5897 | 2020-11-03 |
| 1568062107 | Noor Mateen | Social Worker | 2564 Carpenter Rd, Ann Arbor, MI 48108-1175 | 2020-10-30 |
| 1588264808 | January Haulenbeek | Social Worker | 10093 W P Ave, Kalamazoo, MI 49009-4405 | 2020-10-27 |
| 1508466814 | Betsy Michelle Ulicki | Social Worker | 5787 Ball Ave, Harrison, MI 48625-9385 | 2020-10-27 |
| 1982203485 | Becoming You Therapy Pllc | Social Worker | 2346 Mission Hills Dr Se, Grand Rapids, MI 49546-7804 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | KEEGO HARBOR |
| Zip Code | 48320 |
Please comment or provide details below to improve the information on MOSAIC MISSION.
| 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.