STACIE ANN NEWBERRY (NPI# 1508406711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508406711 |
| Entity Type | Individual |
| Full Name | STACIE ANN NEWBERRY |
| Credential | BA |
| Practice Address |
6902 Chicago Rd Warren MI 48092-1686 |
| Practice Telephone | 5869832670 |
| Practice Fax Number | 5869832672 |
| Mailing Telephone | 5869832670 |
| Mailing Fax Number | 5869832672 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487801908 | Stacie Gayle Newberry | Social Worker | 1110 Rader Run, Bloomington, IL 61704-6338 | 2008-08-27 |
| Street Address |
6902 CHICAGO RD |
| City | WARREN |
| State | MI |
| Zip Code | 48092-1686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932391042 | Childrens Home of Detroit | Community/Behavioral Health | 6902 Chicago Rd, Warren, MI 48092-1686 | 2007-08-13 |
| 1770116089 | Angelita Mcgowan | Technician, Other | 6902 Chicago Rd, Warren, MI 48092-1686 | 2020-02-14 |
| 1760014419 | Victoria Michelle Burton | Counselor | 6902 Chicago Rd, Warren, MI 48092-1686 | 2020-02-11 |
| 1962981480 | Elizabeth Kelsey Mckee | Social Worker | 6902 Chicago Rd, Warren, MI 48092-1686 | 2018-08-07 |
| 1215416730 | Holly Gruzwalski | Social Worker | 6902 Chicago Rd, Warren, MI 48092-1686 | 2018-08-07 |
| 1316320245 | Jessica Szczesny | Case Manager/Care Coordinator | 6902 Chicago Rd, Warren, MI 48092-1686 | 2015-07-09 |
| 1194102624 | Shar, Inc. | Substance Abuse Rehabilitation Facility | 6902 Chicago Rd, Warren, MI 48092-1686 | 2015-05-05 |
| 1295177624 | Dayrell Gibson | Social Worker | 6902 Chicago Rd, Warren, MI 48092-1686 | 2013-07-26 |
| 1497030746 | Anne Michael Robinson | Social Worker | 6902 Chicago Rd, Warren, MI 48092-1686 | 2011-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747888 | Open Water Counseling and Recovery, LLC | Counselor | 1725 Drexel Ave Nw, Warren, OH 44485-2121 | 2019-12-11 |
| 1124663935 | A Restored Outlook LLC | Counselor | 8287 Linda St, Warren, MI 48093-2838 | 2019-11-15 |
| 1063075356 | Just Ask and I'll Help Mental Health Services | Counselor | 29648 City Center Dr Apt 3, Warren, MI 48093-2415 | 2019-04-22 |
| 1598273963 | Luke Charles Metcalf | Counselor | 1212 Tod Pl Nw, Warren, OH 44485-2475 | 2018-01-18 |
| 1518405018 | Rachel Soroka | Counselor | 160 Clifton Dr Ne, Warren, OH 44484-1820 | 2017-02-03 |
| 1538528534 | Joseph Burger | Counselor | 13520 Dominic Dr, Warren, MI 48088-1817 | 2016-02-18 |
| 1164890224 | Lashella Savage | Counselor | 14160 E 14 Mile Rd, Warren, MI 48088-5701 | 2015-09-07 |
| 1053728030 | Jane Kennedy Bays | Counselor | 30521 Schoenherr Rd Ste 200, Warren, MI 48088 | 2014-07-22 |
| 1073851044 | Michael Andrew Perkins | Counselor | 21760 Logue Ave, Warren, MI 48091-2352 | 2013-01-24 |
| 1194069245 | Latina Marie Johnson | Counselor | 29192 Aline Dr, Warren, MI 48093-2691 | 2012-11-15 |
| Find all providers in WARREN | ||||
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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.