BEATRICE DIANE MEDVEDIK (NPI# 1487754115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487754115 |
| Entity Type | Individual |
| Full Name | BEATRICE DIANE MEDVEDIK |
| Credential | LMSW CSW LMFT |
| Practice Address |
45445 Mound Suite 109 Shelby Township MI 48317 |
| Mailing Address |
36975 Utica Road Suite 103 Clinton Township MI 48036 |
| Practice Telephone | 5862545660 |
| Practice Fax Number | 5862540622 |
| Mailing Telephone | 5862263440 |
| Mailing Fax Number | 5862263672 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801066804 | MI | Behavioral Health & Social Service Providers |
| Street Address |
45445 MOUND SUITE 109 |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932207941 | Justine M Gonzalez | Social Worker | 45445 Mound, Ste 109, Shelby Township, MI 48317 | 2006-09-21 |
| 1952451536 | Candice Hemberg | Social Worker | 45445 Mound, Suite 109, Shelby Township, MI 48317 | 2007-01-12 |
| 1457419244 | Mary Kinzie | Social Worker | 45445 Mound, Soute 109, Shelby Township, MI 48317 | 2006-12-05 |
| 1710045604 | Carol Moncreiff | Social Worker | 45445 Mound, Suite 109, Shelby Township, MI 48317 | 2006-12-05 |
| 1922166719 | Sandra Boyd | Social Worker | 45445 Mound, Suite 109, Shelby Township, MI 48317 | 2006-12-05 |
| 1730247610 | Rachelle Ann Neumann | Psychologist | 45445 Mound, Suite 109, Shelby Township, MI 48317 | 2006-12-04 |
| 1649338526 | Diane Marion | Psychologist | 45445 Mound, Suite 109, Shelby Township, MI 48317 | 2006-12-04 |
| 1720146608 | Barbara Gail Spencer | Social Worker | 45445 Mound, Suite 109, Shelby Township, MI 48317 | 2006-12-04 |
| 1003902487 | Christine Homer | Psychologist | 45445 Mound, Suite 109, Shelby Township, MI 48317 | 2006-10-05 |
| 1891881991 | Diane Lynn Redmond | Social Worker | 45445 Mound, Suite 109, Shelby Township, MI 48317 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
| 1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
| 1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
| 1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
| 1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
| 1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
| 1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
| Find all providers in zip 48317 | ||||
| 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 |
|---|---|---|---|---|
| 1386243467 | Victoria Lynn Ruemenapp | Social Worker | 56388 Chesapeake Trl, Shelby Township, MI 48316-5041 | 2020-10-20 |
| 1073141461 | Ashley Krista Dries | Social Worker | 53601 Wellington Dr, Shelby Township, MI 48315-2155 | 2020-03-31 |
| 1619432101 | Donna Marie Termini | Social Worker | 52188 Van Dyke Ave Ste 307, Shelby Township, MI 48316-3570 | 2019-02-08 |
| 1629572516 | Steenbergh & Steenbergh LLC | Social Worker | 51424 Van Dyke Ave Ste 31, Shelby Township, MI 48316-4409 | 2018-03-23 |
| 1952820060 | Health Equity and Recovery Technologies LLC | Social Worker | 51424 Van Dyke Ave Ste 23, Shelby Township, MI 48316-4409 | 2017-09-11 |
| 1790014926 | Stacey Kathleen Raymond | Social Worker | 53202 Providence W, Shelby Township, MI 48316-2612 | 2009-12-17 |
| 1932207941 | Justine M Gonzalez | Social Worker | 45445 Mound, Ste 109, Shelby Township, MI 48317 | 2006-09-21 |
| 1184722100 | Lynda Brown | Social Worker | 45445 Mound Road, Suite 109, Shelby Township, MI 48317 | 2006-09-21 |
| 1013520550 | Mary Mooney Grettenberger | Social Worker | 50258 Van Dyke Ave, Shelby Township, MI 48317-1374 | 2020-08-25 |
| 1144710435 | Crossing Paths Christian Counseling | Social Worker | 50258 Van Dyke Ave Ste A, Shelby Township, MI 48317-1374 | 2018-05-13 |
| Find all providers in SHELBY TOWNSHIP | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48317 |
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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.