DR. JOHN BURKE EITZEN (NPI# 1659600401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659600401 |
| Entity Type | Individual |
| Full Name | DR. JOHN BURKE EITZEN |
| Credential | LLMSW, PH.D. |
| Practice Address |
156 Chartier #2 Marine City MI 48039-2344 |
| Practice Telephone | 8107653919 |
| Mailing Telephone | 8107653919 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801091557 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124218698 | John Pointer Eitzen | Ophthalmology | 806 S Maple St, North Platte, NE 69101-5282 | 2007-07-30 |
| 1215026273 | John Bradley Eitzen | Chiropractor | 523 S Independence St, Enid, OK 73701-5631 | 2006-10-11 |
| Street Address |
156 CHARTIER #2 |
| City | MARINE CITY |
| State | MI |
| Zip Code | 48039-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699174813 | Family Meds Inc | Pharmacy | 302 S Water St, Marine City, MI 48039 | 2014-08-14 |
| 1609294099 | Christina Evanko | Psychologist | 6660 Starville Rd, Cottrellville, MI 48039 | 2014-04-02 |
| 1285910463 | Gerald M Wesley | Dentist | 6240 Mckinley Rd, Marine City, MI 48039 | 2011-11-01 |
| 1871523522 | Kevin Gerardd Gilbert | Chiropractor | 6640 S River Rd, Marine City, MI 48039 | 2006-07-04 |
| 1184885493 | Norbert C. Zimmer P.C. | Chiropractor | 447 S Water St, Marine City, MI 48039 | 2008-06-19 |
| 1972909323 | Gerald Wesley | Dentist | 6240 Mckinley Rd, Cottrellville, MI 48039-1119 | 2014-11-12 |
| 1295813129 | Pulsar Medical Group PC | Internal Medicine | 538 Broadway St, Marine City, MI 48039-1605 | 2006-11-01 |
| 1821133265 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 135 Broadway St, Marine City, MI 48039-1607 | 2007-02-21 |
| 1811535933 | St Clair County Community Mental Health Sud Services - Marine City | Clinic/Center | 135 Broadway St, Marine City, MI 48039-1607 | 2019-12-19 |
| 1104460468 | Leigha Claerhout | Registered Nurse | 135 Broadway St, Marine City, MI 48039-1607 | 2019-10-30 |
| Find all providers in zip 48039 | ||||
| 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 |
|---|---|---|---|---|
| 1407224413 | Renee Morris | Social Worker | 135 Broadway St, Marine City, MI 48039-1607 | 2015-09-08 |
| 1124329255 | Katie Janisse | Social Worker | 135 Broadway St, Marine City, MI 48039-1607 | 2010-11-05 |
| 1992987002 | Melissa Ann Chachulski | Social Worker | 515 S Parker St Ste D, Marine City, MI 48039-3553 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629886 | Suzanne Mcnees | Social Worker | 7373 Morgan Rd E, Battle Creek, MI 49017-9705 | 2020-11-07 |
| 1366043408 | Azeldri Van Der Wath | Social Worker | 41423 Ambercrest Dr, Sterling Heights, MI 48314-3719 | 2020-11-05 |
| 1972104834 | Anne Elizabeth Rife | Social Worker | 4660 Marsh Rd Ste 27, Okemos, MI 48864-2143 | 2020-11-05 |
| 1952902199 | Nakedae R. Cooper | Social Worker | 5847 S Mohawk Ave, Ypsilanti, MI 48197-7119 | 2020-11-04 |
| 1104427368 | Kizzy Nieves | Social Worker | 52280 Cedar Mill Dr, Macomb, MI 48042-5658 | 2020-11-04 |
| 1225639560 | Ananya Avinash | Social Worker | 235 Olivia Ct Nw, Grand Rapids, MI 49504-5897 | 2020-11-03 |
| 1568062107 | Noor Mateen | Social Worker | 2564 Carpenter Rd, Ann Arbor, MI 48108-1175 | 2020-10-30 |
| 1588264808 | January Haulenbeek | Social Worker | 10093 W P Ave, Kalamazoo, MI 49009-4405 | 2020-10-27 |
| 1508466814 | Betsy Michelle Ulicki | Social Worker | 5787 Ball Ave, Harrison, MI 48625-9385 | 2020-10-27 |
| 1982203485 | Becoming You Therapy Pllc | Social Worker | 2346 Mission Hills Dr Se, Grand Rapids, MI 49546-7804 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | MARINE CITY |
| Zip Code | 48039 |
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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.