JULIET HOPE GUSTAFSON


Address: 20303 Kelly Rd, Detroit, MI 48225-1206
Phone: 3137197078

JULIET HOPE GUSTAFSON (NPI# 1699391912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699391912
Entity Type Individual
Full Name JULIET HOPE GUSTAFSON
Credential LLMSW
Practice Address 20303 Kelly Rd
Detroit
MI 48225-1206
Mailing Address 633 Prentis St Apt 16
Detroit
MI 48201-1173
Practice Telephone 3137197078
Mailing Telephone 7344745085
Enumeration Date 2020-06-23
Last Update Date 2020-06-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
6801107105 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI LARA 6801107105 01

Office Location

Street Address 20303 KELLY RD
City DETROIT
State MI
Zip Code 48225-1206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225296130 Kathryn Anne Clampitt-voiles Social Worker 20303 Kelly Rd, Detroit, MI 48225-1206 2008-05-28
1760006910 Hailie Hogan-wilson Student in an Organized Health Care Education/Training Program 20303 Kelly Rd, Detroit, MI 48225-1206 2020-06-03
1679104301 Stacy Jean-baptiste Social Worker 20303 Kelly Rd, Detroit, MI 48225-1206 2020-01-31
1710525241 Jason Williams Peer Specialist 20303 Kelly Rd, Detroit, MI 48225-1206 2019-12-16
1194377507 Dorothy Jean Yarrington Social Worker 20303 Kelly Rd, Detroit, MI 48225-1206 2019-07-15
1588137376 Detroit Community Health Connection, Inc Clinic/Center 20303 Kelly Rd, Detroit, MI 48225-1206 2019-01-04
1821598160 Arielle Rochell Wilson Social Worker 20303 Kelly Rd, Detroit, MI 48225-1206 2018-02-13
1780182436 Lakeidra Bronner Social Worker 20303 Kelly Rd, Detroit, MI 48225-1206 2018-01-29
1366976722 Delisa Glaspie Community/Behavioral Health 20303 Kelly Rd, Detroit, MI 48225-1206 2017-04-12
1972041622 Savannah Rose Moffat Social Worker 20303 Kelly Rd, Detroit, MI 48225-1206 2017-02-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639660046 Ingrid Lewis Registered Nurse 20831 Ridgemont Rd, Harper Woods, MI 48225 2018-05-21
1699264598 Jeffrey Brooks Licensed Practical Nurse 20415 Balfour St, Apt 4, Harper Woods, MI 48225 2018-05-07
1518373430 Meah Khrysteana Tweh Technician, Other 20995 Bournemouth, Harper Woods, MI 48225 2014-07-11
1376878256 Thomas Thurman Social Worker 20303 Kelly Rd., Detroit, MI 48225 2009-10-09
1376799320 Ronald Brian Cornish Massage Therapist 20010 Kelly Rd, Harperwoods, MI 48225 2008-08-11
1811167562 Family First Home Care LLC Home Health 19959 Vernier, Suite 1a, Harper Woods, MI 48225 2008-03-10
1922185982 Odette Roye Haouilou Dentist 18000 Vernier, Harper Woods, MI 48225 2006-11-01
1831286236 Gerald Joseph Fedon Dentist 20840 Vernier Rd, Harper Woods, MI 48225 2006-10-06
1790213759 Horacio Enrique Falcon Dentist 20690 Vernier Rd, Harper Woods, MI 48225 2017-06-02
1609058585 Patricia Ann Peet Durable Medical Equipment & Medical Supplies 19566 Kelly Rd, Harper Woods, MI 48225 2007-12-03
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

Search similar providers

City DETROIT
Zip Code 48225

Improve Information

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Dataset Information

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.

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