MAEGAN WICKSTROM (NPI# 1497363063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497363063 |
| Entity Type | Individual |
| Full Name | MAEGAN WICKSTROM |
| Credential | LLMSW |
| Practice Address |
5698w Us Highway 2 Manistique MI 49854-9116 |
| Practice Telephone | 9066325272 |
| Mailing Telephone | 9066325272 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
5698W US HIGHWAY 2 |
| City | MANISTIQUE |
| State | MI |
| Zip Code | 49854-9116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528286093 | Gloria Ann Vanklompenberg | Family Medicine | 5698w Us Highway 2, Manistique, MI 49854-9116 | 2007-04-23 |
| 1376163279 | Danielle Goudreau | Pharmacist | 5698w Us Highway 2, Manistique, MI 49854-9116 | 2020-04-21 |
| 1205475332 | Mark Alexander Madion | Dentist | 5698w Us Highway 2, Manistique, MI 49854-9116 | 2020-01-07 |
| 1497128318 | Drew Lusby | Dentist | 5698w Us Highway 2, Manistique, MI 49854-9116 | 2015-11-02 |
| 1487904942 | Christopher Michael Frazer | Pharmacist | 5698w Us Highway 2, Manistique, MI 49854-9116 | 2012-09-12 |
| 1508091679 | Stephanie Anne Campbell | Dentist | 5698w Us Highway 2, Manistique, MI 49854-9116 | 2009-05-19 |
| 1104067172 | Jessica J Bernard | Counselor | 5698w Us Highway 2, Manistique, MI 49854-9116 | 2009-03-20 |
| 1730366097 | Amy M Haggerty | Social Worker | 5698w Us Highway 2, Manistique, MI 49854-9116 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752215 | Sarah Jo Miller | Massage Therapist | 610 E Lakeshore Dr, Manistique, MI 49854 | 2020-02-18 |
| 1669961611 | Carole Lynn Hare | Counselor | 159 N Maple Stree, Manistique, MI 49854 | 2018-05-05 |
| 1457898165 | Mark A Rohde | Pharmacist | 211 S Cedar Street, Manistique, MI 49854 | 2017-01-20 |
| 1801137229 | Tracey A Marino | Nurse Practitioner | 7870 W. Us 2, Schoolcraft Memorial Hospital, Manistique, MI 49854 | 2013-03-11 |
| 1366786303 | Melissa L Carlson | Counselor | 5698 W. Hwy Us2, Manistique, MI 49854 | 2012-11-15 |
| 1255666939 | Little Ones of The Up, LLC | Community/Behavioral Health | 300 Walnut Rm 155, Manistique, MI 49854 | 2009-10-13 |
| 1629303441 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 601 Lakeshore Drive, Suite 101, Manistique, MI 49854 | 2009-10-13 |
| 1073756961 | Trisha Ann Mcevers | Social Worker | 601 E. Lakeshore Drive, Suite 102, Manistique, MI 49854 | 2009-04-08 |
| 1043359409 | Nora Lynn Brewster | Social Worker | 8716 N Boot Lake Rd, Manistique, MI 49854 | 2007-02-05 |
| 1588717839 | Sault Tribe of Chippewa Indians | Clinic/Center | 5698w Hwy Us2, Manistique, MI 49854 | 2007-01-19 |
| Find all providers in zip 49854 | ||||
| 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 |
|---|---|---|---|---|
| 1053624635 | Lisa D Tatrow | Social Worker | 300 Walnut St Rm 155, Manistique, MI 49854-1495 | 2010-07-23 |
| 1437482197 | Lisette Hoeltzel | Social Worker | 813 E Lakeshore Dr, Manistique, MI 49854-1683 | 2009-09-14 |
| 1073756961 | Trisha Ann Mcevers | Social Worker | 601 E. Lakeshore Drive, Suite 102, Manistique, MI 49854 | 2009-04-08 |
| 1043359409 | Nora Lynn Brewster | Social Worker | 8716 N Boot Lake Rd, Manistique, MI 49854 | 2007-02-05 |
| 1285139642 | Kellie Campbell | Social Worker | 125 N Lake St, Manistique, MI 49854-1234 | 2018-03-28 |
| 1780185371 | Alyssa Strasser | Social Worker | 125 N Lake St, Manistique, MI 49854-1234 | 2018-02-28 |
| 1295158970 | Jason James Dougherty | Social Worker | 813 E Lakeshore Dr, Manistique, MI 49854-1683 | 2014-01-30 |
| 1972835262 | Linda Norlander | Social Worker | 125 N Lake St, Manistique, MI 49854-1234 | 2010-02-11 |
| 1730366097 | Amy M Haggerty | Social Worker | 5698w Us Highway 2, Manistique, MI 49854-9116 | 2008-01-29 |
| 1194930552 | Barbara Gauger | Social Worker | 125 N Lake St, Manistique, MI 49854-1234 | 2007-05-11 |
| Find all providers in MANISTIQUE | ||||
| City | MANISTIQUE |
| Zip Code | 49854 |
Please comment or provide details below to improve the information on MAEGAN WICKSTROM.
| 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.