STAR ADULT DAY TREATMENT SERVICES LLC (NPI# 1699308023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699308023 |
| Entity Type | Organization |
| Organization Name | STAR ADULT DAY TREATMENT SERVICES LLC |
| Practice Address |
16501 Wyoming St Detroit MI 48221-2848 |
| Mailing Address |
13030 W 7 Mile Rd Detroit MI 48235-1335 |
| Practice Telephone | 3134169000 |
| Practice Fax Number | 3134169002 |
| Mailing Telephone | 3134169000 |
| Mailing Fax Number | 3134169002 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | GEORGE REYNOLDS (ADMINISTRATOR) |
| Authorized Official Telephone | 3134169000 |
| 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 | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
16501 WYOMING ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48221-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865331 | Personal Touch Adult Day Center, LLC | Social Worker | 16501 Wyoming St, Detroit, MI 48221-2848 | 2017-08-01 |
| 1073075347 | Guardian Angel Adult Services 2 Inc | Clinic/Center | 16501 Wyoming St, Detroit, MI 48221-2848 | 2019-04-04 |
| 1124543863 | Shirley Hudson | Social Worker | 16501 Wyoming St, Detroit, MI 48221-2848 | 2017-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359285 | Sutherlond Homes | Home Infusion | 20499 Ilene, Detroit, MI 48221 | 2019-07-25 |
| 1447743216 | Prolific Care Home Health Svc | Home Health | 10141 W. Mcnichols St., Detroit, MI 48221 | 2018-06-07 |
| 1982103297 | Diamond A Lowe | Technician/Technologist | 16654 Monte Vista, Detroit, MI 48221 | 2018-02-02 |
| 1356871941 | Tamika Baines | Driver | 19939 Indiana, Detroit, MI 48221 | 2017-06-15 |
| 1821535667 | Tanisha Floyd | Behavior Technician | 18307 Mendota St., Detroit, MI 48221 | 2017-01-31 |
| 1225585250 | Maan Down LLC | Custodial Care Facility | 16885 Ilene St, Detroit, MI 48221 | 2016-09-07 |
| 1285013979 | Thiera Danyal Lane | Counselor | 11000 W Mcnichols Rd Ste 309, Detroit, MI 48221 | 2015-05-27 |
| 1679967038 | Remy Onimoe | Pharmacist | 16191 Livernois Avenue, Southfield, MI 48221 | 2015-03-24 |
| 1669863098 | Loving Hands Accessible Service L.L.C. | Driver | 16230 Mendota, Detroit, MI 48221 | 2015-02-06 |
| 1487916433 | Social Care Administrators LLC | Case Management | 11000 W. Mcnicholas, Ste 212, Detroit, MI 48221 | 2012-06-14 |
| Find all providers in zip 48221 | ||||
| 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 |
|---|---|---|---|---|
| 1457958811 | Jeana L Rooks | Social Worker | 19340 Riverview St, Detroit, MI 48219-4684 | 2020-10-07 |
| 1457966749 | Crystal Radford | Social Worker | 229 Riverside Dr, Detroit, MI 48215-3010 | 2020-09-13 |
| 1285248799 | Lachonta Alise Conley | Social Worker | 12594 Promenade St, Detroit, MI 48213-1416 | 2020-09-02 |
| 1780297754 | Simone D Yancy | Social Worker | 14247 Riverview St, Detroit, MI 48223-2414 | 2020-08-28 |
| 1104435460 | Goddess Great | Social Worker | 17163 E Warren Ave, Detroit, MI 48224-2279 | 2020-07-23 |
| 1710501689 | Matthew Vanderwindt | Social Worker | 3554 Yorkshire Rd, Detroit, MI 48224-2324 | 2020-06-05 |
| 1669091286 | Evan Theodore Fulford | Social Worker | 19928 Lichfield Rd, Detroit, MI 48221-1363 | 2020-04-14 |
| 1669001335 | Eric Allan Haynes | Social Worker | 1454 Strathcona Dr, Detroit, MI 48203-1464 | 2020-04-05 |
| 1629601729 | Stephanie Beaton | Social Worker | 3011 W Grand Blvd Ste 406, Detroit, MI 48202-3011 | 2020-02-17 |
| 1871125781 | Amalia S Miralrio | Social Worker | 1214 Griswold St Apt 805, Detroit, MI 48226-1816 | 2020-02-08 |
| Find all providers in DETROIT | ||||
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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.