WILLOW OF WONDER CHILD & FAMILY THERAPY PLLC (NPI# 1780107706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780107706 |
| Entity Type | Organization |
| Organization Name | WILLOW OF WONDER CHILD & FAMILY THERAPY PLLC |
| Practice Address |
51500 Birch St Unit C New Baltimore MI 48047 |
| Mailing Address |
35587 Brooke Ct New Baltimore MI 48047-1137 |
| Practice Telephone | 5862911899 |
| Mailing Telephone | 5862911899 |
| Mailing Fax Number | 5862730107 |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2018-08-28 |
| Authorized Official Name | REBECCA KONARZ (DIRECTOR) |
| Authorized Official Telephone | 5862911899 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801083801 | MI | Behavioral Health & Social Service Providers |
| Street Address |
51500 BIRCH ST UNIT C |
| City | NEW BALTIMORE |
| State | MI |
| Zip Code | 48047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1184289050 | Emily Virginia Barc | Speech-Language Pathologist | 50522 Elsey St, New Baltimore, MI 48047 | 2019-05-07 |
| 1629562665 | In Your Home Senior Assistance LLC | In Home Supportive Care | 33813 Bayview Drive, Chesterfield, MI 48047 | 2018-06-21 |
| 1669978805 | Tiffany Nicole Bankhead | Nurse's Aide | 35859 Cranbrook Ct., New Baltimore, MI 48047 | 2018-04-05 |
| 1295246031 | Mary-devon Leigh Bement | Social Worker | Grace Counseling, 23 Mile Rd., Chesterfield, MI 48047 | 2017-10-19 |
| 1760903082 | Jason Aaron Johnson | Massage Therapist | 28390 Gamble Road, Chesterfield, MI 48047 | 2017-06-28 |
| 1699226431 | Aaron Curtis Teutsch | Counselor | 35031 23 Mile Rd., New Baltimore, MI 48047 | 2016-10-17 |
| 1285009506 | Adelle Lenhausen | Dental Hygienist | 36500 Front St, New Baltimore, MI 48047 | 2015-12-11 |
| 1528441359 | Elaine Genevieve Grant | Podiatrist | 32743 23 Mile Rd Ste 110, Chesterfield, MI 48047 | 2015-06-29 |
| 1265833420 | Mary Vang | Counselor | 30531 23 Mile Rd, Chesterfield, MI 48047 | 2014-09-08 |
| Find all providers in zip 48047 | ||||
| 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 |
|---|---|---|---|---|
| 1033613435 | Jessica Klemanski | Social Worker | 50880 Lempke St, New Baltimore, MI 48047-2423 | 2018-03-20 |
| 1376055376 | Julie Marie Bartkowicz | Social Worker | 36489 Haley Dr, New Baltimore, MI 48047-6335 | 2017-10-30 |
| 1902352628 | Matthew Jenkins | Social Worker | 35054 23 Mile Road Suite 104, New Baltimore, MI 48047-2019 | 2016-09-01 |
| 1609035245 | Rebecca Lynn Konarz | Social Worker | 51500 Birch St Ste C, New Baltimore, MI 48047 | 2008-06-09 |
| 1396961405 | Debra Lynn Francisco | Social Worker | 33694 Bayview Dr, New Baltimore, MI 48047-3616 | 2007-04-17 |
| 1306314448 | Ashley Jessica Stanciu | Social Worker | 35054 23 Mile Rd Ste 104, New Baltimore, MI 48047-2019 | 2018-11-07 |
| 1629449731 | Abigail Lewis | Social Worker | 35054 23 Mile Rd Ste 104, New Baltimore, MI 48047-2019 | 2015-10-15 |
| 1063894509 | Jennifer Lee Theodore | Social Worker | 35031 23 Mile Rd, New Baltimore, MI 48047-3649 | 2015-06-21 |
| 1194137893 | Allison Mitchell | Social Worker | 35054 23 Mile Rd, Suite 104, New Baltimore, MI 48047 | 2014-05-29 |
| 1023308475 | Bonnie Jean Mion | Social Worker | 49 Mill Street, New Baltimore, NY 12124 | 2011-04-19 |
| Find all providers in NEW BALTIMORE | ||||
| City | NEW BALTIMORE |
| Zip Code | 48047 |
Please comment or provide details below to improve the information on WILLOW OF WONDER CHILD & FAMILY THERAPY PLLC.
| 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.