JENNIFER ROSE HUMPHREYS (NPI# 1861680456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861680456 |
| Entity Type | Individual |
| Full Name | JENNIFER ROSE HUMPHREYS |
| Credential | BSW |
| Practice Address |
1515 N Stephenson Hwy Royal Oak MI 48067-1526 |
| Mailing Address |
28000 Dequindre Rd Warren MI 48092-2468 |
| Practice Telephone | 2485426070 |
| Practice Fax Number | 2485423210 |
| Mailing Telephone | 5867530405 |
| Mailing Fax Number | 5867530404 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790288371 | Jennifer E Humphreys | Student in an Organized Health Care Education/Training Program | 4929 Darcy Woods Ln, Fuquay Varina, NC 27526-7622 | 2018-03-09 |
| 1790298842 | Jennifer M Humphreys | Nurse Practitioner | 4600 Oleander Dr, Wilmington, NC 28403 | 2017-11-12 |
| 1881138402 | Jennifer F Humphreys | Nurse Practitioner | 2301 Holmes St, Kansas City, MO 64108-2640 | 2016-12-16 |
| 1629446430 | Jennifer Humphreys | Nurse Practitioner | 1285 Franciscan Dr, Litchfield, IL 62056-1778 | 2015-09-10 |
| 1942556014 | Jennifer Humphreys | Nurse Anesthetist, Certified Registered | 128 Peachtree Ln, Suite B, Advance, NC 27006-6782 | 2012-07-26 |
| 1932144557 | Jennifer Humphreys | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-0000 | 2006-06-18 |
| Street Address |
1515 N STEPHENSON HWY |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922116938 | Ascension Eastwood Behavioral Health | Substance Abuse Rehabilitation Facility | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-08-29 |
| 1912287772 | Michael Maysura | Counselor | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2011-08-25 |
| 1386708402 | Margaret Ann Butler | Social Worker | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-12-21 |
| 1851499776 | Daniel Joseph Grogan | Social Worker | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-09-21 |
| 1710085634 | Mark Alan Matthews | Counselor | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-09-21 |
| 1831297738 | Larry Duane Mccarrick | Counselor | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-09-21 |
| 1609974518 | Heather Anne Rye | Social Worker | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-09-21 |
| 1124126032 | Nancy Sue Messer | Counselor | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| Find all providers in zip 48067 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233017 | Jean Lucille Perry | Social Worker | 3216 Merrill Ave, Royal Oak, MI 48073-6813 | 2020-07-27 |
| 1992355663 | Maddison Lynn Cross | Social Worker | 1705 Gardenia Ave, Royal Oak, MI 48067-2142 | 2019-09-16 |
| 1316415813 | Natalie Olivier | Social Worker | 432 Detroit Ave, Royal Oak, MI 48073-3642 | 2018-11-02 |
| 1073096897 | Brittany Lutren | Social Worker | 306 S Washington Ave, Royal Oak, MI 48067-3845 | 2018-09-07 |
| 1013391440 | Mandi Knotts | Social Worker | 1020 Grove Ave, Royal Oak, MI 48067-1407 | 2015-07-15 |
| 1659799054 | Chris Brown | Social Worker | 3733 Ravena Ave, Royal Oak, MI 48073-6439 | 2014-04-02 |
| 1588005854 | Maria Eileen Miller | Social Worker | 230 S Minerva Ave, Royal Oak, MI 48067-3981 | 2013-07-15 |
| 1962753871 | Kimberly Cook | Social Worker | 1222 Catalpa Dr, Royal Oak, MI 48067-1127 | 2012-10-02 |
| 1255526133 | Empowerment Professionals PC | Social Worker | 310 W Hudson, Royal Oak, MI 48067-3120 | 2007-09-13 |
| 1235252552 | Dorothy Ann Seebaldt | Social Worker | 2923 Woodslee Dr, Royal Oak, MI 48073-2934 | 2007-04-10 |
| Find all providers in ROYAL OAK | ||||
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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.