MADISON QUEENER (NPI# 1770126955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770126955 |
| Entity Type | Individual |
| Full Name | MADISON QUEENER |
| Credential | LLBSW |
| Practice Address |
38271 Mound Rd Bldg B Sterling Heights MI 48310-3401 |
| Mailing Address |
Po Box 289 Mason MI 48854-0289 |
| Practice Telephone | 5864772054 |
| Practice Fax Number | 5864772056 |
| Mailing Telephone | 5176765405 |
| Mailing Fax Number | 5176765460 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 6802090497 | MI | Other Service Providers |
| Street Address |
38271 MOUND RD BLDG B |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48310-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922492594 | Shanna Jackson | Counselor | 38271 Mound Rd Bldg B, Sterling Heights, MI 48310-3401 | 2015-03-23 |
| 1952956815 | Ngan Duong | Case Manager/Care Coordinator | 38271 Mound Rd Bldg B, Sterling Heights, MI 48310-3401 | 2019-08-07 |
| 1538643226 | Shakaree Lewis | Case Manager/Care Coordinator | 38271 Mound Rd Bldg B, Sterling Heights, MI 48310-3401 | 2018-09-19 |
| 1801253992 | Lacey Jo Smith | Case Manager/Care Coordinator | 38271 Mound Rd Bldg B, Sterling Heights, MI 48310-3401 | 2016-01-21 |
| 1871989616 | Sax Guthery | Counselor | 38271 Mound Rd Bldg B, Sterling Heights, MI 48310-3401 | 2015-04-08 |
| 1831583087 | Robin Brumlow | Social Worker | 38271 Mound Rd Bldg B, Sterling Heights, MI 48310-3401 | 2015-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476961 | Briana Smiley | Behavior Technician | 34475 Mound Road, Sterling Heights, MI 48310 | 2020-07-31 |
| 1902442262 | Evolve Physical Therapy LLC | Physical Therapist | 35654 Dequindre Rd, Sterling Heights, MI 48310 | 2019-11-21 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1942784368 | Brittany Lee Anderson | Chiropractor | 34770 Dequindre Rd., Sterling Heights, MI 48310 | 2018-09-21 |
| 1386140572 | Arpan Patel | Nurse Practitioner | 37303 Tericrest Dr, Sterling Heights, MI 48310 | 2018-04-05 |
| 1306340955 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-03-20 |
| 1942704663 | Tazul Choudhury | Occupational Therapist | 34643 Ketsin Dr., Therapy Dept., Sterling Heights, MI 48310 | 2018-03-19 |
| 1013410950 | Robert Parent | Physical Therapist | 34643 Ketsin Drive, Sterling Heighs, MI 48310 | 2018-03-16 |
| 1194231563 | Total Orthopedic Performance Physical Therapy, LLC | Physical Therapist | 3522 15 Mile Road, Sterling Heights, MI 48310 | 2017-12-21 |
| 1851807309 | Happy Life 2 Inc | Clinic/Center | 3727 15 Mile Rd, Sterling Heights, MI 48310 | 2017-12-20 |
| Find all providers in zip 48310 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588278 | Monique Bargfeldt | Case Manager/Care Coordinator | 44265 Pine Dr, Sterling Heights, MI 48313-1245 | 2020-01-30 |
| 1710543418 | Lauren Puchalski | Case Manager/Care Coordinator | 5450 Kebbe Dr, Sterling Heights, MI 48310-5161 | 2019-05-17 |
| 1134525801 | Brendon Whitney | Case Manager/Care Coordinator | 38271 Mound Rd, Sterling Heights, MI 48310-3401 | 2014-11-07 |
| 1891307427 | Fatimah Al Hashimi | Case Manager/Care Coordinator | 4301 E 14 Mile Rd, Sterling Heights, MI 48310-6411 | 2020-08-17 |
| 1487264065 | Ghaith Baban | Case Manager/Care Coordinator | 4301 E 14 Mile Rd, Sterling Heights, MI 48310-6411 | 2020-08-07 |
| 1235752486 | Cheri Lynn Blanton | Case Manager/Care Coordinator | 6555 15 Mile Rd, Sterling Heights, MI 48312-4511 | 2020-05-22 |
| 1952956815 | Ngan Duong | Case Manager/Care Coordinator | 38271 Mound Rd Bldg B, Sterling Heights, MI 48310-3401 | 2019-08-07 |
| 1538643226 | Shakaree Lewis | Case Manager/Care Coordinator | 38271 Mound Rd Bldg B, Sterling Heights, MI 48310-3401 | 2018-09-19 |
| 1346782836 | Ginger Long | Case Manager/Care Coordinator | 38271 Mound Rd, Bldg B Suite 300, Sterling Heights, MI 48310-3401 | 2016-11-15 |
| 1750833950 | Jaclyn Petrella | Case Manager/Care Coordinator | 13213 E 14 Mile Rd, Sterling Heights, MI 48312-6302 | 2016-11-04 |
| Find all providers in STERLING HEIGHTS | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48310 |
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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.