PRESTIGE BEHAVIORAL PARTIAL & MEMORY CARE CENTER INC (NPI# 1538607668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538607668 |
| Entity Type | Organization |
| Organization Name | PRESTIGE BEHAVIORAL PARTIAL & MEMORY CARE CENTER INC |
| Practice Address |
250 N Wayne Rd Westland MI 48185-3626 |
| Mailing Address |
Po Box 247 Southfield MI 48037-0247 |
| Practice Telephone | 8886766768 |
| Practice Fax Number | 8887946717 |
| Mailing Telephone | 8886766768 |
| Mailing Fax Number | 8887946717 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | DIANE KING (OWNER) |
| Authorized Official Telephone | 2484705644 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7177 Miller Dr, Ste C, Warren, MI 480921699 | 2484705644 |
| Street Address |
250 N WAYNE RD |
| City | WESTLAND |
| State | MI |
| Zip Code | 48185-3626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457821084 | Kimberly L Traver | Nurse Practitioner | 6149 N. Wayne Road, Westland, MI 48185 | 2018-11-27 |
| 1710456421 | Infinity Physical Therapy | Occupational Therapy Assistant | 36413 Warren Road, Westland, MI 48185 | 2018-11-26 |
| 1770071391 | Woodcrest Rx LLC. | Pharmacy | 8301 North Wayne Rd., Westland, MI 48185 | 2018-04-30 |
| 1922522952 | Regina Amadi | Pharmacist | 30785 Ann Arbor Trail, Westland, MI 48185 | 2017-08-01 |
| 1811417637 | Jacob Davis Adams | Specialist/Technologist | 34610 Parkgrove, Westland, MI 48185 | 2017-06-22 |
| 1336677533 | Mark Brian Beathard | Counselor | 8623 N. Wayne Road, Suite 310, Adult Outpatient Services for Smi, Westland, MI 48185 | 2017-06-01 |
| 1164965240 | Murray Dalton | Social Worker | 8623 N. Wayne Rd, Suite 310, Westland, MI 48185 | 2016-11-22 |
| 1962953505 | Krishaun Harris | Technician, Other | 8181 N.wayne Rd, Apt.2131, Westland, MI 48185 | 2016-10-19 |
| 1417408089 | Joseph E Silver Dpm PC | Podiatrist | 35337 W Warren Ave, Westland, MI 48185 | 2016-10-19 |
| 1043769813 | Joy Hix Pharmacy LLC | Pharmacy | 38409 Joy Rd, Westland, MI 48185 | 2016-09-22 |
| Find all providers in zip 48185 | ||||
| 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 |
|---|---|---|---|---|
| 1225645294 | Michael Bourgoise | Social Worker | 6740 Central City Pkwy, Westland, MI 48185-9138 | 2020-09-24 |
| 1699381152 | Jacqueline Godin | Social Worker | 30555 Michigan Ave, Westland, MI 48186-5310 | 2020-09-21 |
| 1225651391 | Melissa Schmidt | Social Worker | 1600 Regene St, Westland, MI 48186-9725 | 2020-05-24 |
| 1184192387 | Nikole Scott | Social Worker | 32541 Bertram Dr, Westland, MI 48185-1520 | 2018-11-06 |
| 1194290726 | Cos We Care Adult Day Services LLC | Social Worker | 1515 S. Wayne Rd, Westland, MI 48186-5436 | 2018-10-10 |
| 1740777499 | Nicole Marie Milz | Social Worker | 32517 Dorsey St, Westland, MI 48186 | 2018-04-18 |
| 1194242180 | Amy Harrison | Social Worker | 8623 N Wayne Rd Ste 107, Westland, MI 48185-1137 | 2017-08-29 |
| 1164965240 | Murray Dalton | Social Worker | 8623 N. Wayne Rd, Suite 310, Westland, MI 48185 | 2016-11-22 |
| 1265981393 | Alexandra Ljubic | Social Worker | 8623 N Wayne Rd Ste 104, Westland, MI 48185-1137 | 2016-09-30 |
| 1740633478 | Marida Little | Social Worker | 37458 Hixford Pl Apt C15, Westland, MI 48185-3360 | 2016-07-18 |
| Find all providers in WESTLAND | ||||
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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.