MICHELLE PIVONKA (NPI# 1477042331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477042331 |
| Entity Type | Individual |
| Full Name | MICHELLE PIVONKA |
| Credential | APSW |
| Practice Address |
926 Willard Dr Ste 136 Green Bay WI 54304 |
| Mailing Address |
4631 Cindy Ct New Franken WI 54229-9430 |
| Practice Telephone | 9204615820 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 131063-121 | WI | Behavioral Health & Social Service Providers |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 935 S 8th St Ste 102, Manitowoc, WI 542204549 | 9204615820 |
| Street Address |
926 WILLARD DR STE 136 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1134745037 | Kayla Johnson | Social Worker | 926 Willard Dr Ste 136, Green Bay, WI 54304-5296 | 2020-06-17 |
| 1508427907 | Kimberly Ann Pampel | Social Worker | 926 Willard Dr Ste 136, Green Bay, WI 54304-5296 | 2019-06-26 |
| 1417518812 | Nicole Marie De Valk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304-5296 | 2019-06-26 |
| 1831609098 | Heather Marie Antoniewicz | Counselor | 926 Willard Dr Ste 136, Green Bay, WI 54304-5296 | 2017-10-02 |
| 1962865212 | Janice Eileen Proski | Counselor | 926 Willard Dr Ste 136, Green Bay, WI 54304-5296 | 2016-04-04 |
| 1487075214 | Kimberley Welk and Associates, LLC | Clinic/Center | 926 Willard Dr Ste 136, Green Bay, WI 54304-5296 | 2013-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| 1609069608 | Linda Marie Socker | Occupational Therapist | 812 S Fisk Street, Suite 109, Green Bay, WI 54304 | 2007-08-22 |
| Find all providers in zip 54304 | ||||
| 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 |
|---|---|---|---|---|
| 1326660085 | Rebecca L Green Blanks | Social Worker | 2640 West Point Road, Green Bay, WI 54304-1344 | 2020-05-15 |
| 1952653271 | Professional Family Resources & Associates LLC | Social Worker | 2300 Lineville Rd Ste 200, Green Bay, WI 54313-8859 | 2012-10-10 |
| 1942245493 | Gail J Krawczyk | Social Worker | 2631 Packerland Dr, Suite 104c, Green Bay, WI 54313-4130 | 2006-06-18 |
| 1245846195 | Janna Nordeman | Social Worker | 1221 Bellevue St Ste 113, Green Bay, WI 54302-2155 | 2020-09-16 |
| 1629683958 | Stephanie O'connor | Social Worker | 123 N Oakland Ave, Green Bay, WI 54303-2831 | 2020-09-14 |
| 1134745037 | Kayla Johnson | Social Worker | 926 Willard Dr Ste 136, Green Bay, WI 54304-5296 | 2020-06-17 |
| 1447886635 | Rachel Gregory | Social Worker | 1499 6th St, Green Bay, WI 54304-2252 | 2020-03-19 |
| 1407486541 | Gabrielle Cassandra Jochman | Social Worker | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2020-01-16 |
| 1104469360 | Kelsey Mcnamee | Social Worker | 2733 S Ridge Rd, Green Bay, WI 54304-5513 | 2019-10-21 |
| 1164077103 | Chloe Anderson | Social Worker | 123 N Oakland Ave, Green Bay, WI 54303-2831 | 2019-08-06 |
| Find all providers in GREEN BAY | ||||
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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.