MR. REYNOLD A WOLTER (NPI# 1578652962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578652962 |
| Entity Type | Individual |
| Full Name | MR. REYNOLD A WOLTER |
| Credential | LCSW |
| Practice Address |
450 Saint John Rd Rm 301-13 Michigan City IN 46360-7354 |
| Practice Telephone | 2199296621 |
| Mailing Telephone | 2199296621 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34000511 | IN | Behavioral Health & Social Service Providers |
| Street Address |
450 SAINT JOHN RD RM 301-13 |
| City | MICHIGAN CITY |
| State | IN |
| Zip Code | 46360-7354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659371094 | James P Johnston | Technician/Technologist | 450 Saint John Rd, Ste 404, Michigan City, IN 46360-7354 | 2005-07-28 |
| 1558711887 | Indiana Hearing LLC | Hearing Aid Equipment | 450 Saint John Rd, Michigan City, IN 46360-7354 | 2016-06-17 |
| 1003241993 | Cheryl Barnes | Social Worker | 450 Saint John Rd, Michigan City, IN 46360-7354 | 2013-09-10 |
| 1063751790 | Rosetta Maria Deloof-primmer | Counselor | 450 Saint John Rd, Michigan City, IN 46360-7354 | 2013-01-31 |
| 1316211030 | Jennifer Hooper | Social Worker | 450 Saint John Rd, Suite 501, Michigan City, IN 46360-7354 | 2012-02-27 |
| 1841572476 | Swanson Center | Community/Behavioral Health | 450 Saint John Rd, Michigan City, IN 46360-7354 | 2011-09-09 |
| 1700111457 | Thomas Adrian Dehorn | Counselor | 450 Saint John Rd, Suite 501, Michigan City, IN 46360-7354 | 2009-10-14 |
| 1568607489 | Tashina E Oladunjoye | Social Worker | 450 Saint John Rd, Suite 525, Michigan City, IN 46360-7354 | 2008-12-05 |
| 1083802094 | Chad A Booth | Social Worker | 450 Saint John Rd, Michigan City, IN 46360-7354 | 2007-10-04 |
| 1568511756 | Carol Ann Lyons | Registered Nurse | 450 Saint John Rd, Suite 550, Michigan City, IN 46360-7354 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649096 | Trinity Healthcare Inc. | Occupational Therapist | 4300 Cleveland Ave, Michigan City, IN 46360 | 2019-09-27 |
| 1861905499 | Erika Leigh Maroon | Chiropractor | 8690 West Pahs Rd., Michigan City, IN 46360 | 2017-11-06 |
| 1750740650 | Michelle Asbell | Nurse Practitioner | 301 Homer St, Michigan City, IN 46360 | 2016-02-19 |
| 1235523952 | Marnee Flinn-smith | Specialist/Technologist | 8466 Pahs Rd, Michigan City, IN 46360 | 2015-03-19 |
| 1184976359 | Kelly Stewart | Physical Therapist | 301 Homer Street, Michigan City, IN 46360 | 2012-10-11 |
| 1053660936 | Planned Parenthood of Indiana Michigan City | Clinic/Center | 324 Dunes Plaza, Michigan City, IN 46360 | 2012-09-06 |
| 1114288644 | June R. R. Nichols Ocularist, Ltd | Durable Medical Equipment & Medical Supplies | 450 St. John Road, Suite 396, Michigan City, IN 46360 | 2012-05-31 |
| 1083980858 | Enoch Kassa | Internal Medicine | 3777 N Frontage Rd, Michigan City, IN 46360 | 2012-03-27 |
| 1760768196 | American Limb & Orthopedic Company of Valparaiso | Prosthetic/Orthotic Supplier | 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 | 2011-10-31 |
| 1801181144 | Elizabeth A Whitaker | Counselor | 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 | 2011-06-15 |
| Find all providers in zip 46360 | ||||
| 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 |
|---|---|---|---|---|
| 1336659366 | Cynthia Grace Gronemeyer | Social Worker | 619 Franklin St # 2b, Michigan City, IN 46360-3411 | 2017-10-04 |
| 1326567603 | Nancy Knight Miller | Social Worker | 1411 S Woodland Ave Ste B, Michigan City, IN 46360-7170 | 2017-09-18 |
| 1760611354 | Samantha Marie Grooms | Social Worker | 450 Saint John Rd Ste 501, Michigan City, IN 46360-7349 | 2009-07-06 |
| 1003069303 | Melissa Ann Morse | Social Worker | 117 Wabash, Michigan City, IN 46360 | 2008-10-30 |
| 1255458188 | Michelle Batacan Alexander | Social Worker | 619 Franklin St, Suite 2b, Michigan City, IN 46360-3411 | 2007-03-24 |
| 1124631528 | Michelle Bazin-johnson | Social Worker | 401 Washington St, Michigan City, IN 46360-3338 | 2020-08-25 |
| 1952932915 | Nicole A Snyder | Social Worker | 7224 W 400 N, Michigan City, IN 46360-2903 | 2020-01-29 |
| 1154966109 | Christine Cuddeback | Social Worker | 7224 W 400 N, Michigan City, IN 46360-2903 | 2019-11-14 |
| 1811538085 | Nichole Semala | Social Worker | 7224 W 400 N, Michigan City, IN 46360-2903 | 2019-09-30 |
| 1265965024 | Juliette Greenberg | Social Worker | 7224 W 400 N, Michigan City, IN 46360-2903 | 2017-04-09 |
| Find all providers in MICHIGAN CITY | ||||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
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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.