BARRY JENNEMAN (NPI# 1467616136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467616136 |
| Entity Type | Individual |
| Full Name | BARRY JENNEMAN |
| Credential | MSW |
| Practice Address |
1365 Shoman St Waterford MI 48327-1862 |
| Practice Telephone | 2484616050 |
| Mailing Telephone | 2484616050 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 6801087561 | MI | Other Service Providers |
| Street Address |
1365 SHOMAN ST |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327-1862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608811 | Eriel Negron | Case Manager/Care Coordinator | 4957 Oak Hill Dr, Waterford, MI 48329-1752 | 2019-06-17 |
| 1942664826 | Julie Stinson | Case Manager/Care Coordinator | 2587 Lovington Ln, Waterford, MI 48329-3375 | 2016-04-07 |
| 1477935591 | Stacey Diamond | Case Manager/Care Coordinator | 931 Williamsbury Apt 333, Waterford, MI 48328-2265 | 2015-06-25 |
| 1477994408 | Carol Berousek | Case Manager/Care Coordinator | 6270 Barker Dr, Waterford, MI 48329-3181 | 2013-07-05 |
| 1780022095 | Rebecca Swain | Case Manager/Care Coordinator | 3460 Clayton Ave, Waterford, MI 48329-3206 | 2013-06-08 |
| 1417557810 | Emily Grace Maxwell | Case Manager/Care Coordinator | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-10-27 |
| 1992316269 | Carolyn Meador | Case Manager/Care Coordinator | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-08-11 |
| 1598376998 | Brianna Adler | Case Manager/Care Coordinator | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-08-11 |
| 1679106694 | Karissa Ritthaler | Case Manager/Care Coordinator | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-02-18 |
| 1649836271 | Jessica Goethals | Case Manager/Care Coordinator | 955 Campus Dr N, Waterford, MI 48328-2754 | 2019-05-20 |
| Find all providers in WATERFORD | ||||
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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.