AMANDA LYNN LUURTSEMA (NPI# 1710543269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710543269 |
| Entity Type | Individual |
| Full Name | AMANDA LYNN LUURTSEMA |
| Practice Address |
5340 Plymouth Rd Ann Arbor MI 48105-9341 |
| Mailing Address |
6655 Heatheridge Dr Saline MI 48176-9230 |
| Practice Telephone | 7344623210 |
| Mailing Telephone | 7348834218 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801104295 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 6801104295 | 05 | |
| MI | PRIVATE PRACTICE | 6801104295 | 01 |
| Street Address |
5340 PLYMOUTH RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306838404 | Sally Rose Szymanski | Psychiatry & Neurology | 5340 Plymouth Rd, Suite 207, Ann Arbor, MI 48105-9341 | 2005-08-16 |
| 1346715422 | Taylor Raeann Jones | Psychologist | 5340 Plymouth Rd, Ann Arbor, MI 48105-9341 | 2018-10-04 |
| 1003359928 | Amy Paggeot | Psychologist | 5340 Plymouth Rd, Suite #210, Ann Arbor, MI 48105-9341 | 2016-11-25 |
| 1003359126 | Jennifer Ratliff-moss Lmsw, LLC | Social Worker | 5340 Plymouth Rd, Suite 208, Ann Arbor, MI 48105-9341 | 2016-11-21 |
| 1891197059 | Jennifer Ann Ratliff-moss | Social Worker | 5340 Plymouth Rd, Ste 208, Ann Arbor, MI 48105-9341 | 2014-09-18 |
| 1316278609 | Lisa Michelle Wiley | Occupational Therapist | 5340 Plymouth Rd, Suite 100, Ann Arbor, MI 48105-9341 | 2010-01-26 |
| 1992913784 | Thomas J. Bloem Dds Ms PC | Dentist | 5340 Plymouth Rd, Suite 110, Ann Arbor, MI 48105-9341 | 2007-05-18 |
| 1679628960 | Thomas Bloem | Dentist | 5340 Plymouth Rd, Suite 110, Ann Arbor, MI 48105-9341 | 2007-01-24 |
| 1083771117 | Diane M. Gartland | Psychologist | 5340 Plymouth Rd, Suite 209, Ann Arbor, MI 48105-9341 | 2007-01-01 |
| 1609949171 | Healing In Motion Pllc | Physical Therapist | 5340 Plymouth Rd, Suite 100, Ann Arbor, MI 48105-9341 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| 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 |
|---|---|---|---|---|
| 1568062107 | Noor Mateen | Social Worker | 2564 Carpenter Rd, Ann Arbor, MI 48108-1175 | 2020-10-30 |
| 1295342970 | Yan Luo | Social Worker | 536 S Forest Ave Apt 1614, Ann Arbor, MI 48104-2553 | 2020-09-28 |
| 1245845098 | Matthew Cremin | Social Worker | 5340 Plymouth Rd Ste 104, Ann Arbor, MI 48105-9557 | 2020-09-09 |
| 1528678943 | Joyce Y Lee | Social Worker | 2245 S State St Ste 1200, Ann Arbor, MI 48104-6279 | 2020-08-01 |
| 1649888900 | Ian Reed Twiss | Social Worker | 2015 Geddes Ave, Ann Arbor, MI 48104-1715 | 2020-07-22 |
| 1114545308 | Sarah Weissman | Social Worker | 1817 W Stadium Blvd Ste C, Ann Arbor, MI 48103-4577 | 2020-07-14 |
| 1710504618 | Cjcasselman Lmsw LLC | Social Worker | 2311 Shelby Ave Ste 105, Ann Arbor, MI 48103-3849 | 2020-06-26 |
| 1295351807 | Transitions Linda S Bender Lmsw Acsw | Social Worker | 4488 Jackson Rd Ste 4, Ann Arbor, MI 48103-1812 | 2020-06-19 |
| 1326661109 | Naomi Rawitz | Social Worker | 120 E Liberty St Ste 370, Ann Arbor, MI 48104-2130 | 2020-05-27 |
| 1164042917 | Sue Pellerito LLC | Social Worker | 2311 Shelby Ave Ste 105a, Ann Arbor, MI 48103-3849 | 2020-04-22 |
| Find all providers in ANN ARBOR | ||||
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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.