MARCELLUS POWELL (NPI# 1811383581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811383581 |
| Entity Type | Individual |
| Full Name | MARCELLUS POWELL |
| Practice Address |
1852 W Grand Blvd Detroit MI 48208-1006 |
| Practice Telephone | 3138948444 |
| Mailing Telephone | 3138948444 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1852 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48208-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851457451 | Self Help Addiction Rehabilitation (shar) | Substance Abuse Rehabilitation Facility | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2006-12-28 |
| 1295373504 | Teri Laurie Colvin | Community Based Residential Treatment Facility, Mental Illness | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2019-12-17 |
| 1659827301 | Felicia Jackson | Community Health Worker | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-08-31 |
| 1285090886 | Mark Winfield II | Counselor | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-01-12 |
| 1134585003 | Rae Harris | Counselor | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-01-08 |
| 1831555630 | Carolyn Louise Miles | Counselor | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-01-08 |
| 1598121386 | Lawrence Barnes | Counselor | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-01-08 |
| 1396101226 | Tinelda Williamson | Counselor | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-01-07 |
| 1043676968 | Lee Zinsky | Counselor | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-01-07 |
| 1962868893 | Tiffani Holley | Counselor | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-01-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1932645405 | Diane Louise Dodson | Counselor | 5500 Trumbull Apt 315, Detroit, MI 48208 | 2017-01-09 |
| 1164881306 | Cory Eugene Martin | Counselor | 1852 W. Grand Blvd., Detroit, MI 48208 | 2016-02-16 |
| 1578947784 | Hamza Belhaj | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2015-07-17 |
| 1942629167 | Diana Pool | Counselor | 3737 Lawton, Detroit, MI 48208 | 2014-04-15 |
| 1124467048 | Aisha Williams | Social Worker | 4707 Vinewood St., Detroit, MI 48208 | 2013-06-25 |
| 1295079895 | Mia Love | Nurse Practitioner | 2959 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2012-11-20 |
| 1992064356 | Valarie Egeria Foulks | Counselor | 2051 W. Grand Blvd, Detroit, MI 48208 | 2012-05-04 |
| 1023304078 | Ayana Njeri Davis | Massage Therapist | 2550 W. Grand Blvd, Detroit, MI 48208 | 2011-06-28 |
| 1184922627 | Shar Inc. | Community Based Residential Treatment Facility, Mental Illness | 1852 W.grand Blvd, Detroit, MI 48208 | 2011-03-08 |
| Find all providers in zip 48208 | ||||
| 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 |
|---|---|---|---|---|
| 1932700242 | Best Choice Health Services, LLC | Case Manager/Care Coordinator | 19300 Greenfield Rd Ste C, Detroit, MI 48235-2003 | 2020-11-03 |
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1083243596 | Kelley Grice | Case Manager/Care Coordinator | 4620 Haverhill St, Detroit, MI 48224-3520 | 2020-04-06 |
| 1316573652 | Stacey Hayes | Case Manager/Care Coordinator | 18283 Freeland St, Detroit, MI 48235-2537 | 2020-03-18 |
| 1255978045 | Barbara Richelle Williams | Case Manager/Care Coordinator | 1800 Brainard St Apt 104, Detroit, MI 48208-2863 | 2019-11-29 |
| 1609427376 | Alexis Williams | Case Manager/Care Coordinator | 8828 Moffat St, Detroit, MI 48213-2909 | 2019-09-24 |
| 1376107136 | Brittany Wright-ahmad | Case Manager/Care Coordinator | 888 Pallister St Apt 103, Detroit, MI 48202-2670 | 2019-04-26 |
| 1336609320 | Emily Dozier | Case Manager/Care Coordinator | 65 Cadillac Sq Fl 30, Detroit, MI 48226-2844 | 2019-03-25 |
| 1063913457 | Candiss Letice Chambers | Case Manager/Care Coordinator | 2712 Gratiot Ave, Detroit, MI 48207-2493 | 2018-02-22 |
| 1356859375 | Natasha Walker | Case Manager/Care Coordinator | 4929 Spokane St, Detroit, MI 48204-5021 | 2018-01-11 |
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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.