TIMOTHY JOHN PEGMAN (NPI# 1619360278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619360278 |
| Entity Type | Individual |
| Full Name | TIMOTHY JOHN PEGMAN |
| Credential | LBSW |
| Practice Address |
320 Commerce Ave Sw Grand Rapids MI 49503-4101 |
| Practice Telephone | 6162224570 |
| Mailing Telephone | 6162224570 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6802085817 | MI | Behavioral Health & Social Service Providers |
| Street Address |
320 COMMERCE AVE SW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396008744 | Kimberly A Clarke | Social Worker | 320 Commerce Ave Sw, Grand Rapids, MI 49503-4101 | 2012-06-20 |
| 1386256675 | Nadine Arlene Battles | Counselor | 320 Commerce Ave Sw, Grand Rapids, MI 49503-4101 | 2020-08-19 |
| 1982256087 | Elizabeth Maitner Nielsen | Social Worker | 320 Commerce Ave Sw, Grand Rapids, MI 49503-4101 | 2019-07-10 |
| 1639669336 | Kylie Loudenslager | Social Worker | 320 Commerce Ave Sw, Grand Rapids, MI 49503-4101 | 2018-05-17 |
| 1093231011 | Linnea Venhousen | Social Worker | 320 Commerce Ave Sw, Grand Rapids, MI 49503-4101 | 2017-08-22 |
| 1861915928 | Melanie Marie Ward | Social Worker | 320 Commerce Ave Sw, Grand Rapids, MI 49503-4101 | 2017-07-20 |
| 1023474988 | Emily Jankowski | Social Worker | 320 Commerce Ave Sw, Grand Rapids, MI 49503-4101 | 2016-01-07 |
| 1265806780 | Kathryn Ploeger | Social Worker | 320 Commerce Ave Sw, Grand Rapids, MI 49503-4101 | 2015-11-20 |
| 1841685526 | Brenda Johnson | Social Worker | 320 Commerce Ave Sw, Grand Rapids, MI 49503-4101 | 2015-03-31 |
| 1063805646 | Lisa Brown | Social Worker | 320 Commerce Ave Sw, Grand Rapids, MI 49503-4101 | 2015-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
|---|---|---|---|---|
| 1679173595 | Laura Ann Dillivan | Social Worker | 1545 Cole Ave Ne, Grand Rapids, MI 49505-5026 | 2020-10-29 |
| 1912510033 | Alexandra Burke Hagerty | Social Worker | 1047 Wealthy St Se, Grand Rapids, MI 49506-1551 | 2020-08-28 |
| 1124643689 | Lavange Barth LLC | Social Worker | 400 Monroe Ave Nw Ste 400, Grand Rapids, MI 49503-1476 | 2020-06-10 |
| 1962026641 | Maya Louise Williams | Social Worker | 1101 Ball Ave Ne Bldg D, Grand Rapids, MI 49505-5904 | 2020-05-29 |
| 1720618242 | Terri Lynn Ingram | Social Worker | 1030 Sunrise Ln Nw, Grand Rapids, MI 49534-3679 | 2020-01-23 |
| 1528698206 | Kristen Zolen | Social Worker | 3310 Eagle Park Dr Ne, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1437789120 | Ann Louise Przybysz | Social Worker | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1649810276 | Dana Harrison | Social Worker | 500 Fulton St E Apt 303, Grand Rapids, MI 49503-4491 | 2020-01-12 |
| 1336781939 | Samantha L Klokkert | Social Worker | 2013 Eastcastle Dr Se Ste B, Grand Rapids, MI 49508-8873 | 2019-10-15 |
| 1952958191 | Morgan Fegel | Social Worker | 2040 E Beltline Ave Ne, Grand Rapids, MI 49525-9716 | 2019-08-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.