MISS SYDNEY CAITLAN EDMUNDSON (NPI# 1700491966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700491966 |
| Entity Type | Individual |
| Full Name | MISS SYDNEY CAITLAN EDMUNDSON |
| Practice Address |
4321 E Mcnichols Rd Detroit MI 48212-1720 |
| Mailing Address |
38301 Spring Ln Farmington Hills MI 48331-3757 |
| Practice Telephone | 3135312500 |
| Mailing Telephone | 9193236543 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
4321 E MCNICHOLS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48212-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962495796 | Knight Drugs West Warren, Inc. | Pharmacy | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2005-08-26 |
| 1184136889 | Mcnichols Rx LLC | Pharmacy | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2017-11-02 |
| 1649722901 | Jennifer Lewis | Nurse's Aide | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2016-11-02 |
| 1710437595 | Delores L Kearse | Technician, Other | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2016-10-05 |
| 1700336575 | Aline Gadson | Technician, Other | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2016-10-05 |
| 1962832675 | Jennifer J Gee | Social Worker | 4321 E Mcnichols Rd, Detroit, Detroit, MI 48212-1720 | 2013-11-15 |
| 1457602500 | Terrilynne Gause | Social Worker | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2012-09-28 |
| 1598930521 | Pallavi Munikrishna | Social Worker | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2008-04-30 |
| 1316154156 | Nitin M. Rajhans | Psychiatry & Neurology | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
| 1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
| 1942770631 | Joann Harrison | Nurse Practitioner | 17941 St. Aubin Street, Detroit, MI 48212 | 2018-11-26 |
| 1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
| 1477051530 | Detroit Green Carrot LLC | Foster Care Agency | 3829 Alpha, Detroit, MI 48212 | 2018-01-24 |
| 1528595451 | Mercy Prakash | Nurse Practitioner | 3120 Carpenter St. Ste 201, Adult & Pediatric Medicine Pllc, Hamtramck, MI 48212 | 2017-05-23 |
| 1033408935 | Hamtramck Pediatrics | Clinic/Center | 12033 Conant Road, Hamtramck, MI 48212 | 2011-03-31 |
| 1194051557 | Niaah Ellis | Counselor | 4812 E. Mcnichols, Detroit, MI 48212 | 2009-10-20 |
| 1912136797 | Latoya T Jackosn | Counselor | Sunshine Treatment In, 4821 E. Mcnichols, Detroit, MI 48212 | 2009-07-14 |
| Find all providers in zip 48212 | ||||
| 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 |
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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.