CARLY DIETRICH (NPI# 1548874373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548874373 |
| Entity Type | Individual |
| Full Name | CARLY DIETRICH |
| Credential | LLMSW |
| Practice Address |
610 S Burdick St Kalamazoo MI 49007-5221 |
| Practice Telephone | 2693813700 |
| Practice Fax Number | 2693813810 |
| Mailing Telephone | 2693813700 |
| Mailing Fax Number | 2693813810 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801107507 | MI | Behavioral Health & Social Service Providers |
| Street Address |
610 S BURDICK ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-5221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689625238 | Randall P Estes | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2006-05-16 |
| 1588271860 | Liza May | Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-30 |
| 1528675840 | Amy Boileau | Counselor | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-30 |
| 1366059024 | Sheree Niblack | Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-28 |
| 1245845759 | Kaylee J Davis | Counselor | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-11 |
| 1568077253 | Nicole Jean Brown | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-10 |
| 1922613769 | Kylie Klomparens | Student in an Organized Health Care Education/Training Program | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-09 |
| 1871108621 | Ellyn Petrino | Student in an Organized Health Care Education/Training Program | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-09 |
| 1184237190 | Paige Materi | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-08-28 |
| 1205449899 | John Dueber | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
| Find all providers in zip 49007 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543723 | Brittany Nelson | Social Worker | 1940 Howard St Apt 537, Kalamazoo, MI 49008-1267 | 2020-09-20 |
| 1689284788 | Valerie Marie Mcnamara | Social Worker | 487 S Drake Rd Ste B, Kalamazoo, MI 49009-3236 | 2020-08-04 |
| 1932766136 | Christine Sue Heffron | Social Worker | 5360 Holiday Ter Ste 32, Kalamazoo, MI 49009-2126 | 2019-05-22 |
| 1013481084 | Natalie Louise White | Social Worker | 2525 Frederick Ave, Kalamazoo, MI 49008-2149 | 2019-01-14 |
| 1487127205 | Emily Betros | Social Worker | 4341 S Westnedge Ave Ste 2106, Kalamazoo, MI 49008-3286 | 2019-01-03 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1437699659 | Logan Stout | Social Worker | 1536 Gull Rd, Kalamazoo, MI 49048-1621 | 2017-03-07 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1881140879 | Amy Raterink | Social Worker | 414 S Burdick St Ste 200, Kalamazoo, MI 49007-6219 | 2016-08-30 |
| Find all providers in KALAMAZOO | ||||
Please comment or provide details below to improve the information on CARLY DIETRICH.
| 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.