MARY KATHLEEN JACKSON-SPANER (NPI# 1487145587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487145587 |
| Entity Type | Individual |
| Full Name | MARY KATHLEEN JACKSON-SPANER |
| Credential | LLMSW |
| Practice Address |
6963 W Kl Ave Kalamazoo MI 49009-8043 |
| Practice Telephone | 2693651836 |
| Mailing Telephone | 2693651836 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801102501 | MI | Behavioral Health & Social Service Providers |
| Street Address |
6963 W KL AVE |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-8043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114256526 | Jamie Renee Campeau | Social Worker | 6963 W Kl Ave, Kalamazoo, MI 49009-8043 | 2009-12-14 |
| 1992304794 | Morgyn Rose Heim | Counselor | 6963 W Kl Ave, Kalamazoo, MI 49009-8043 | 2020-10-22 |
| 1215401997 | Petra Ann Morey | Marriage & Family Therapist | 6963 W Kl Ave, Kalamazoo, MI 49009 | 2019-01-16 |
| 1811466709 | Lauren Cooper | Counselor | 6963 W Kl Ave, Suite B, Kalamazoo, MI 49009 | 2018-11-20 |
| 1245739424 | Alison Beach | Counselor | 6963 W Kl Ave, Kalamazoo, MI 49009-8043 | 2018-02-02 |
| 1497262646 | Laura Hinkley | Counselor | 6963 W Kl Ave, Kalamazoo, MI 49009-8043 | 2018-01-09 |
| 1134548647 | Kelene Rogers | Counselor | 6963 W Kl Ave, Kalamazoo, MI 49009 | 2014-04-11 |
| 1144581174 | Azmen Hope Williams | Social Worker | 6963 W Kl Ave, Kalamazoo, MI 49009 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| 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 |
|---|---|---|---|---|
| 1588264808 | January Haulenbeek | Social Worker | 10093 W P Ave, Kalamazoo, MI 49009-4405 | 2020-10-27 |
| 1932716198 | Brittany Nicole Mcneil | Social Worker | 350 E Michigan Ave Ste 20, Kalamazoo, MI 49007-3848 | 2020-09-30 |
| 1437775145 | Christina Thomason, Pllc | Social Worker | 3315 Greenleaf Blvd, Kalamazoo, MI 49008-2516 | 2020-06-18 |
| 1306468293 | Heather M Kozar | Social Worker | 5765 Sandalwood Dr Apt 3a, Kalamazoo, MI 49048-6608 | 2020-05-13 |
| 1447879747 | Emilie Morgan Musialczyk | Social Worker | 2901 E Kilgore Rd, Kalamazoo, MI 49001-5508 | 2020-04-16 |
| 1033756911 | Julie Marie Cooper-mcninch | Social Worker | 601 John St Ste M-005, Kalamazoo, MI 49007-5381 | 2019-12-10 |
| 1053953075 | Elizabeth Dahlinger Mcgiffin | Social Worker | 7520 Haflinger Cir, Kalamazoo, MI 49009-3918 | 2019-10-10 |
| 1205478443 | James Lewis Whalen | Social Worker | 129 Edgemoor Ave, Kalamazoo, MI 49001-4201 | 2019-10-09 |
| 1871051698 | Lesa Brenner-french | Social Worker | 3054 S 9th St Ste B, Kalamazoo, MI 49009-6250 | 2019-03-11 |
| 1407385230 | Kmf Counseling LLC | Social Worker | 307 Pratt Rd, Kalamazoo, MI 49001-5318 | 2017-06-06 |
| Find all providers in KALAMAZOO | ||||
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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.