WOLVERINE HUMAN SERVICES (NPI# 1720434426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720434426 |
| Entity Type | Organization |
| Organization Name | WOLVERINE HUMAN SERVICES |
| Other Organization Name | MICHIGAN COUNSELING CENTER |
| Practice Address |
43902 Woodward Ave Ste 100 Bloomfield Hills MI 48302-5021 |
| Practice Telephone | 2487242643 |
| Practice Fax Number | 2485160068 |
| Mailing Telephone | 2487242643 |
| Mailing Fax Number | 2485160068 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2017-03-24 |
| Authorized Official Name | THOMAS KROLICKI (VICE PRESIDENT COO) |
| Authorized Official Telephone | 2487242643 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801067478 | MI | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Michigan Counseling Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891978441 | Wolverine Human Services | Substance Abuse Rehabilitation Facility | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2007-12-06 |
| 1871831750 | Wolverine Human Services | Psychiatric Residential Treatment Facility | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2013-01-28 |
| 1952617789 | Wolverine Human Services | Substance Abuse Rehabilitation Facility | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2010-08-31 |
| 1700103397 | Wolverine Human Services | Substance Abuse Rehabilitation Facility | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2010-04-22 |
| 1548596216 | Wolverine Human Services | Substance Abuse Rehabilitation Facility | 1120 Commerce Dr, Vassar, MI 48768-9588 | 2009-10-30 |
| Street Address |
43902 WOODWARD AVE STE 100 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710490271 | Zachary Paul Wollack | Social Worker | 43902 Woodward Ave Ste 100, Bloomfield Hills, MI 48302-5021 | 2017-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| 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 |
|---|---|---|---|---|
| 1538780317 | Camille Romain | Social Worker | 6873 Vachon Dr, Bloomfield Hills, MI 48301-2942 | 2020-05-02 |
| 1598391609 | On The Couch LLC | Social Worker | 136 Belroi Pl, Bloomfield Hills, MI 48304-1600 | 2020-03-20 |
| 1780191965 | Donna Jane Bishop | Social Worker | 549 Kingsley Trail, Bloomfield Hills, MI 48304 | 2018-01-09 |
| 1699224030 | Adrienne Goloda | Social Worker | 1750 S Telegraph Rd Ste 102, Bloomfield Hills, MI 48302-0177 | 2016-09-27 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1467819425 | Elizabeth Rose Eiten | Social Worker | 36800 Woodward Ave Ste 112, Bloomfield Hills, MI 48304-0916 | 2016-01-21 |
| 1891161121 | Amber Donahue | Social Worker | 297 Canterbury Rd, Bloomfield Hills, MI 48304-2919 | 2015-08-20 |
| 1316362072 | Laura Barnett | Social Worker | 2242 S Telegraph Rd, Suite 208, Bloomfield Hills, MI 48302 | 2014-03-04 |
| 1518307891 | Carolyn Roe Gier | Social Worker | 4425 Chisholm Trl, Bloomfield Hills, MI 48301-3750 | 2013-07-01 |
| 1417298167 | Donna Major | Social Worker | 1301 Knollcrest Cir, Bloomfield Hills, MI 48304-1240 | 2013-03-05 |
| Find all providers in BLOOMFIELD HILLS | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
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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.