AMBER JO DAWERITZ (NPI# 1811281421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811281421 |
| Entity Type | Individual |
| Full Name | AMBER JO DAWERITZ |
| Credential | LLMSW |
| Practice Address |
220 N Main St Adrian MI 49221-2749 |
| Practice Telephone | 5172655352 |
| Practice Fax Number | 5172636090 |
| Mailing Telephone | 5172655352 |
| Mailing Fax Number | 5172636090 |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801092586 | MI | Behavioral Health & Social Service Providers |
| Street Address |
220 N MAIN ST |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265976716 | Daniel Luis Valdez | Social Worker | 220 N Main St, Adrian, MI 49221-2749 | 2016-12-16 |
| 1154783959 | Jennifer Hale | Counselor | 220 N Main St, Adrian, MI 49221-2749 | 2016-03-22 |
| 1912363599 | John Brubaker | Counselor | 220 N Main St, Adrian, MI 49221-2749 | 2016-01-12 |
| 1285000307 | Bobbie Restis | Counselor | 220 N Main St, Adrian, MI 49221-2749 | 2015-08-12 |
| 1548653066 | Joseph Rea | Psychologist | 220 N Main St, Adrian, MI 49221-2749 | 2015-03-09 |
| 1174915730 | Linda Pancone | Counselor | 220 N Main St, Adrian, MI 49221-2749 | 2015-02-19 |
| 1588076632 | Dwight Forde | Social Worker | 220 N Main St, Adrian, MI 49221-2749 | 2014-05-23 |
| 1427396605 | Deborah A Culik | Social Worker | 220 N Main St, Adrian, MI 49221-2749 | 2013-01-23 |
| 1922356856 | Scott Graham | Counselor | 220 N Main St, Adrian, MI 49221-2749 | 2012-08-27 |
| 1043565583 | Whitney Alysse Puckey | Counselor | 220 N Main St, Adrian, MI 49221-2749 | 2012-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| 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 |
|---|---|---|---|---|
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1083091128 | Laura Derby | Social Worker | 5180 Sand Creek Hwy, Adrian, MI 49221-8769 | 2015-04-28 |
| 1417366519 | Nastassja Alena Cuellar-wilson | Social Worker | 605 Toledo St, Adrian, MI 49221-2836 | 2014-08-04 |
| 1417363029 | Tiffany Essenpries | Social Worker | 930 N Old Highway 71, Adrian, MO 64720-8326 | 2014-07-02 |
| 1245510601 | Kelli Ann Watkins | Social Worker | 136 E Maumee St Ste 8, Adrian, MI 49221-2724 | 2011-08-17 |
| 1831310697 | Kenneth James Cunningham | Social Worker | 310 E. Maumee St., Adrian, Michigan 49221, 2805 Collingwood Blvd., Toledo, Ohio 43610, Adrian, MI 49221 | 2007-05-01 |
| 1548393721 | Sheryl I Goldberg | Social Worker | 604 N Main Street, Adrian, MI 49221 | 2007-03-14 |
| 1578691432 | Gerontology Network | Social Worker | 4650 W Us Highway 223 Ste A, Adrian, MI 49221-8494 | 2007-03-01 |
| 1457408213 | Jason Osstifin | Social Worker | 403 N Broad St, Adrian, MI 49221-2127 | 2007-01-04 |
| 1588683197 | Frances Ann Foley | Social Worker | 1040 S Winter St Ste 1022, Adrian, MI 49221-3876 | 2006-07-18 |
| Find all providers in ADRIAN | ||||
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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.