ADULT FAMILY & GROUP COUNSELING PLLC (NPI# 1518093871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518093871 |
| Entity Type | Organization |
| Organization Name | ADULT FAMILY & GROUP COUNSELING PLLC |
| Practice Address |
1920 Lake Shore Dr Memorial United Methodist Church Offices Gladstone MI 49837-1249 |
| Mailing Address |
10426 V.05 Rd Po Box165 Rapid River MI 49878-9462 |
| Practice Telephone | 9064205844 |
| Practice Fax Number | 9064746010 |
| Mailing Telephone | 9064746010 |
| Mailing Fax Number | 9064746010 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-05-14 |
| Authorized Official Name | MS. ELEANOR LOUISE DOUGHERTY (PRESIDENT) |
| Authorized Official Telephone | 9064205844 |
| Authorized Official Credential | LMSW-CM,CAC 1, D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801069892 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP # | 0P44870 | 01 | |
| MAGELLAN GROUP/ORG # | 600073696 | 01 | |
| MI | OWNER / PROVIDER NPI | 1295715498 | 01 |
| MI | BCBSM INDIVIUAL PROVIDER PIN | 0897996 | 01 |
| MI | BCBSM ID | 8008979960 | 01 |
| Street Address |
1920 LAKE SHORE DR MEMORIAL UNITED METHODIST CHURCH OFFICES |
| City | GLADSTONE |
| State | MI |
| Zip Code | 49837-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386140796 | Jenna R Sanderson | Counselor | 2655 Ashmun Street, Sault Ste Marie, MI 49837 | 2018-04-04 |
| 1689995854 | Heather E Demay | Physical Therapist | 2001 Minneapolis Ave., Suite C, Gladstone, MI 49837 | 2010-06-22 |
| 1437273877 | Northwoods Rehabilitation Inc. | Clinic/Center | 2001 Minneapolis Ave Suite C, Gladstone, MI 49837 | 2007-03-19 |
| 1568523850 | Daniel John Howes | Physical Therapist | 116 N 9th Ste, Ste C, Gladstone, MI 49837 | 2006-12-12 |
| 1356359095 | Tiffany L Molinari | Physician Assistant | 2001 Minneapolis Ave, Suite D, Gladstone, MI 49837 | 2006-08-04 |
| 1598852865 | John Wurth Skellenger | Dentist | 1103 Delta Ave, Gladstone, MI 49837-0167 | 2006-10-06 |
| 1750805727 | Kayela S Kuehl | Nurse Practitioner | 145 4th Ave N, Gladstone, MI 49837-1054 | 2017-08-01 |
| 1548651037 | Patricia Maynarich | Massage Therapist | 1302 Michigan Ave, Gladstone, MI 49837-1320 | 2015-02-05 |
| 1003277583 | Abigail Flaminio | Specialist/Technologist | 1110 Minnesota Ave, Gladstone, MI 49837-1402 | 2016-03-11 |
| 1093188948 | Maryanne Mcleod Lmsw Counseling, LLC | Social Worker | 1010 Minnesota Ave, Suite 210, Gladstone, MI 49837-1502 | 2015-11-01 |
| Find all providers in zip 49837 | ||||
| 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 |
|---|---|---|---|---|
| 1235765967 | Catherine J Blanch | Social Worker | 5602 N Highland Ave, Gladstone, MO 64118-5410 | 2020-03-13 |
| 1497273205 | Kathleen Marie Egli | Social Worker | 880 82nd Dr Bldg B, Gladstone, OR 97027-1803 | 2017-08-31 |
| 1093188948 | Maryanne Mcleod Lmsw Counseling, LLC | Social Worker | 1010 Minnesota Ave, Suite 210, Gladstone, MI 49837-1502 | 2015-11-01 |
| 1407228380 | Maryanne Wojda Mcleod | Social Worker | 1010 Delta Ave, 210, Gladstone, MI 49837-1553 | 2015-10-30 |
| 1881979185 | Wendy Jo Ballard-turner | Social Worker | 18905 Portland Ave, Gladstone, OR 97027-1630 | 2011-10-18 |
| 1346476330 | Shelby Markum | Social Worker | 305 Nw Englewood Ct Ste 300, Gladstone, MO 64118-4000 | 2009-06-03 |
| 1144243635 | Kathleen Bridget Costello | Social Worker | 6651 N Oak Trfy, Suite 13, Gladstone, MO 64118-3332 | 2006-07-25 |
| 1952364267 | Stephanie Ann White | Social Worker | 5950 N Oak Trfy, Ste 104, Gladstone, MO 64118-5166 | 2006-04-08 |
| 1164907796 | Sandra Roskott | Social Worker | 685 Portland Ave, Gladstone, OR 97027-2117 | 2018-09-28 |
| 1376082446 | Melissa Oeffner | Social Worker | 119 Ne 72nd St, Gladstone, MO 64118-1826 | 2017-02-22 |
| Find all providers in GLADSTONE | ||||
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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.