MR. GERALDINE TAECKENS (NPI# 1821116195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821116195 |
| Entity Type | Individual |
| Full Name | MR. GERALDINE TAECKENS |
| Credential | ACSW |
| Practice Address |
1131 E Spruce St Sault Sainte Marie MI 49783-2527 |
| Practice Telephone | 9066324565 |
| Mailing Telephone | 9066324565 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
L867363 | MI | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | L867363 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 8008924810 | 01 |
| Street Address |
1131 E SPRUCE ST |
| City | SAULT SAINTE MARIE |
| State | MI |
| Zip Code | 49783-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| 1033767512 | Louis William Bergman | Pharmacist | 3763 75 Business Spur, Sault Ste Marie, MI 49783 | 2019-08-28 |
| 1972076818 | Phyllis Mary Robertson | Speech-Language Pathologist | 2472 Ashmun Street, War Memorial Hospital Rehabilitation Centre, Sault Sainte Marie, MI 49783 | 2019-01-03 |
| 1831611748 | Thomas Matthew Choponis | Optometrist | 128 W Spruce St Ste 1, Sault Sainte Marie, MI 49783 | 2017-07-12 |
| 1730633223 | Holly D Statt | Dental Hygienist | 905 Marquette Ave, Sault Sainte Marie, MI 49783 | 2016-08-12 |
| 1316306590 | Debra Joyce Peake | Social Worker | 3865 South Mackinac Trail, Sault Ste Marie, MI 49783 | 2016-02-17 |
| 1629465935 | Jodi Johnson | Occupational Therapy Assistant | 1011 Merridian St, Sault Saint Marie, MI 49783 | 2015-04-24 |
| 1972885606 | Elizabeth Hayes | Social Worker | 3865 S Mackinac Trail, Sault Ste Marie, MI 49783 | 2011-09-20 |
| 1922252618 | Denise L. Montgomery | Registered Nurse | 500 Osborn Blvd., Sault Ste Marie, MI 49783 | 2008-11-08 |
| 1487829826 | Melanie A Cook | Eyewear Supplier (Equipment, not the service) | 1908 Ashman Street, Sault Ste Marie, MI 49783 | 2008-04-28 |
| Find all providers in zip 49783 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949390 | Livonia Public Schools School District | Social Worker | 8900 Newburgh Rd, Livonia, MI 48150-3425 | 2020-10-13 |
| 1336756253 | Michael Holtzman | Social Worker | 3008 Brockman Blvd, Ann Arbor, MI 48104-4717 | 2020-09-24 |
| 1023626488 | Foadeh Ali Yahya | Social Worker | 5133 Saint Lawrence St Apt 2, Detroit, MI 48210-2162 | 2020-07-21 |
| 1427682277 | Kaylyn Marie Hoy | Social Worker | 131 Fairview St, Hanover, MI 49241-9702 | 2020-03-02 |
| 1972152569 | Alcona Citizens for Health, Inc. | Social Worker | 375 Wilson St Rm 12a, Alpena, MI 49707-1423 | 2019-09-06 |
| 1568010288 | Alcona Citizens for Health, Inc. | Social Worker | 7667 Us Highway 23 N Rm 111, Alpena, MI 49707-7905 | 2019-08-27 |
| 1962050690 | Alcona Citizens for Health, Inc. | Social Worker | 12170 Us Highway 23 S Rm 205b, Ossineke, MI 49766-9776 | 2019-08-27 |
| 1104383215 | Tara Horton | Social Worker | 8216 S 35 Rd, Cadillac, MI 49601-8958 | 2019-02-25 |
| 1649753146 | Family Medical Center of Michigan,inc | Social Worker | 13000 Essex Ave Rm 211, Detroit, MI 48215-3243 | 2018-09-11 |
| 1942780077 | Jodi Lynn Huizinga | Social Worker | 356 1/2 N Main, Cedar Springs, MI 49319-9776 | 2018-08-17 |
| Find all providers with the same taxonomy | ||||
| City | SAULT SAINTE MARIE |
| Zip Code | 49783 |
Please comment or provide details below to improve the information on MR. GERALDINE TAECKENS.
| 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.