TREESIDE PSYCHOLOGICAL CLINIC P.C. (NPI# 1588841787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588841787 |
| Entity Type | Organization |
| Organization Name | TREESIDE PSYCHOLOGICAL CLINIC P.C. |
| Practice Address |
45 N Lapeer St Lake Orion MI 48362-3159 |
| Mailing Address |
486 Tanview Dr Oxford MI 48371-4761 |
| Practice Telephone | 2486939614 |
| Practice Fax Number | 2486939615 |
| Mailing Telephone | 2486939614 |
| Mailing Fax Number | 2486939615 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |
| Authorized Official Name | JAMES B. ROWE (CFO) |
| Authorized Official Telephone | 2486939614 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801072490 | MI | Behavioral Health & Social Service Providers |
| Street Address |
45 N LAPEER ST |
| City | LAKE ORION |
| State | MI |
| Zip Code | 48362-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700061488 | Amy Lynn Santus | Counselor | 45 N Lapeer St, Lake Orion, MI 48362 | 2007-12-31 |
| 1780109520 | Bryan Holt | Counselor | 45 N Lapeer St, Lake Orion, MI 48362-3159 | 2017-08-12 |
| 1013459528 | Luanne Marie Smith | Counselor | 45 N Lapeer St, Lake Orion, MI 48362-3159 | 2016-11-15 |
| 1952752313 | Heather Wells | Marriage & Family Therapist | 45 N Lapeer St, Lake Orion, MI 48362-3159 | 2016-06-28 |
| 1326444522 | Carrie Ann Zanoni | Counselor | 45 N Lapeer St, Lake Orion, MI 48362-3159 | 2014-11-15 |
| 1154673382 | Lyndsay Bohannon | Psychologist | 45 N Lapeer St, Lake Orion, MI 48362-3159 | 2012-10-11 |
| 1235456658 | Elizabeth Anne Chisholm | Counselor | 45 N Lapeer St, Lake Orion, MI 48362-3159 | 2010-04-25 |
| 1578731378 | Lynne Carnahan Stevens | Psychologist | 45 N Lapeer St, Lake Orion, MI 48362-3159 | 2008-02-14 |
| 1962689141 | Renee A Rowe | Social Worker | 45 N Lapeer St, Lake Orion, MI 48362-3159 | 2008-01-30 |
| 1952588204 | Thomas Bernard Swieboda | Counselor | 45 N Lapeer St, Lake Orion, MI 48362-3159 | 2008-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295275840 | Lori Tunney | Social Worker | 1175 Ridgeview Cir, Lake Orion, MI 48362 | 2017-03-01 |
| 1720300932 | Amanda Norrow | Occupational Therapist | 700 Knibbe Rd, Lake Orion, MI 48362 | 2010-02-16 |
| 1992883193 | Dori Ann Freeland | Dentist | 436 South Broadway, Lake Orion, MI 48362 | 2006-11-02 |
| 1184647042 | Rocco Ciccone | Dentist | 792 South Lapear Rd., Lake Orion, MI 48362 | 2006-07-25 |
| 1922053685 | James J Bauer | Emergency Medicine | 785 North Lapeer Rd, Suite 100, Lake Orion, MI 48362 | 2006-05-23 |
| 1619453263 | Lauren Yearego | Counselor | 81 Indianwood Rd, Suite 2, Lake Orion, MI 48362 | 2018-07-17 |
| 1326013293 | Malgorzata Sobilo | Internal Medicine | 785 N Lapeer Rd, Lake Orion, MI 48362 | 2006-02-22 |
| 1588953335 | Diana Therese Kitzmiller | Psychologist | 55 Maumee Trl, Lake Orion, MI 48362-1221 | 2011-04-01 |
| 1215442652 | Brightstone Occupational Therapy Consultants, LLC | Occupational Therapist | 128 Menasha Trl, Lake Orion, MI 48362-1224 | 2017-12-07 |
| 1437664877 | Patricia Anne Diener | Occupational Therapist | 128 Menasha Trl, Lake Orion, MI 48362-1224 | 2017-12-07 |
| Find all providers in zip 48362 | ||||
| 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 |
|---|---|---|---|---|
| 1437640018 | Laura Elizabeth Milner | Social Worker | 3719 Hi Dale Dr, Lake Orion, MI 48360-2422 | 2018-05-19 |
| 1689918963 | Hillary Nusbaum | Social Worker | 3377 Beech Dr, Apt. 7208, Lake Orion, MI 48359-2352 | 2012-11-26 |
| 1760617468 | Krystal Laura Dayton | Social Worker | 1520 S Lapeer Rd, Ste. 216, Lake Orion, MI 48360-1454 | 2009-05-25 |
| 1811024086 | Gail Ann Ryan | Social Worker | 1112 Leidich St, Lake Orion, MI 48362-2531 | 2007-02-27 |
| 1316042088 | Therapeutic Alliance, Inc | Social Worker | 25 N. North Shore Drive, Lake Orion, MI 48362-3058 | 2006-09-14 |
| 1205170388 | Grace Adelaide Rawlins | Social Worker | 189 W Clarkston Rd, Box 18, Lake Orion, MI 48362-2892 | 2012-11-15 |
| 1962689141 | Renee A Rowe | Social Worker | 45 N Lapeer St, Lake Orion, MI 48362-3159 | 2008-01-30 |
| 1124205620 | James B Rowe | Social Worker | 45 N Lapeer St, Lake Orion, MI 48362-3159 | 2008-01-28 |
| 1538368139 | Heart Space LLC | Social Worker | 940 W Clarkston Rd, Lake Orion, MI 48362-2575 | 2007-07-13 |
| 1548304785 | Michael Preston Sumbur | Social Worker | 81 Indianwood Rd, Lake Orion, MI 48362-1595 | 2007-02-19 |
| Find all providers in LAKE ORION | ||||
| City | LAKE ORION |
| Zip Code | 48362 |
Please comment or provide details below to improve the information on TREESIDE PSYCHOLOGICAL CLINIC P.C..
| 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.