MS. JESSACA J WAN


Address: 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425
Phone: 6163641500

MS. JESSACA J WAN (NPI# 1437223401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437223401
Entity Type Individual
Full Name MS. JESSACA J WAN
Other Name JESSACA J KOOY
Credential LMSW
Practice Address 2118 3 Mile Rd Nw
Grand Rapids
MI 49544-1425
Mailing Address 300 68th St Se
Grand Rapids
MI 49548-6927
Practice Telephone 6163641500
Practice Fax Number 6163646400
Mailing Telephone 6164555000
Enumeration Date 2006-11-20
Last Update Date 2011-12-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 6801086286 MI Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
6801086286 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TOUCHSTONE ID # 38 2831313 01

Office Location

Street Address 2118 3 MILE RD NW
City GRAND RAPIDS
State MI
Zip Code 49544-1425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194377564 Erin Rozek Social Worker 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 2019-07-15
1184117632 Sarah D. Hewson Social Worker 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 2018-06-10
1114456522 Chelsea Maureen Collins Social Worker 2118 3 Mile Rd Nw, Grand Rapids, MI 49544 2017-06-08
1598157034 Elizza Brittany Lejeune Social Worker 2118 3 Mile Rd Nw, Grand Rapids, MI 49544 2015-02-20
1366852949 James L Grabow Social Worker 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 2014-05-05
1467735811 Katherine E Tucker Social Worker 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 2011-09-22
1366679359 Sarah Jean Muench Psychologist 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 2009-06-17
1386858520 Sara Renee Gee Social Worker 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 2007-05-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437764511 Titiana Shanee Richardson Social Worker 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 2020-09-15
1699317792 Leah Grace Nesburg Speech-Language Pathologist 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 2019-10-10
1316467954 Hendrik Vanholsbeeck Dentist 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 2017-06-25
1467988584 Leah Feenstra Behavior Technician 668 3 Mile Nw, Grand Rapids, MI 49544 2017-05-10
1760920698 Heidi Catherine Stultz-griffey Pharmacist 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 2017-02-12
1336591791 Nicole Totten Dentist 3320 Alpine Ave., Grand Rapids, MI 49544 2016-07-11
1255789145 Lucas David Kelley Technician, Other 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 2016-06-01
1144611666 Stephen Kornoely Social Worker 2118 3 Mile Road Nw, Grand Rapids, MI 49544 2015-02-06
1023368305 Brian William Rogers Registered Nurse 712 North Center Dr. Nw, Grand Rapids, MI 49544 2012-09-14
1477885325 Wilson and Wynn Interventions Community/Behavioral Health 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 2010-02-03
Find all providers in zip 49544

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679173595 Laura Ann Dillivan Social Worker 1545 Cole Ave Ne, Grand Rapids, MI 49505-5026 2020-10-29
1912510033 Alexandra Burke Hagerty Social Worker 1047 Wealthy St Se, Grand Rapids, MI 49506-1551 2020-08-28
1124643689 Lavange Barth LLC Social Worker 400 Monroe Ave Nw Ste 400, Grand Rapids, MI 49503-1476 2020-06-10
1962026641 Maya Louise Williams Social Worker 1101 Ball Ave Ne Bldg D, Grand Rapids, MI 49505-5904 2020-05-29
1720618242 Terri Lynn Ingram Social Worker 1030 Sunrise Ln Nw, Grand Rapids, MI 49534-3679 2020-01-23
1528698206 Kristen Zolen Social Worker 3310 Eagle Park Dr Ne, Grand Rapids, MI 49525-4574 2020-01-22
1437789120 Ann Louise Przybysz Social Worker 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 2020-01-22
1649810276 Dana Harrison Social Worker 500 Fulton St E Apt 303, Grand Rapids, MI 49503-4491 2020-01-12
1336781939 Samantha L Klokkert Social Worker 2013 Eastcastle Dr Se Ste B, Grand Rapids, MI 49508-8873 2019-10-15
1952958191 Morgan Fegel Social Worker 2040 E Beltline Ave Ne, Grand Rapids, MI 49525-9716 2019-08-22
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49544

Improve Information

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Dataset Information

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.

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