MECOSTA COUNTY MEDICAL CENTER (NPI# 1942693106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942693106 |
| Entity Type | Organization |
| Organization Name | MECOSTA COUNTY MEDICAL CENTER |
| Practice Address |
8354 100th Ave Stanwood MI 49346-8344 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2319726000 |
| Mailing Telephone | 6164866790 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |
| Authorized Official Name | DEIDRE WELLER (DIRECTOR FINANCE) |
| Authorized Official Telephone | 2319241380 |
| Is Organization Subpart | Y |
| Parent Organization Name | MECOSTA COUNTY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477973493 | Mecosta County Medical Center | Clinic/Center | 8354 100th Ave Ste 1, Canadian Lakes, MI 49346-8345 | 2014-04-17 |
| 1760435317 | Mecosta County Medical Center | Home Health | 8354 100th Ave, Suite 3, Canadian Lakes, MI 49346-8344 | 2006-05-17 |
| 1316945991 | Mecosta County Medical Center | General Acute Care Hospital | 605 Oak St, Big Rapids, MI 49307-2048 | 2005-07-08 |
| 1407319460 | Mecosta County Medical Center | Clinic/Center | 111 E Church St, Tustin, MI 49688-5114 | 2019-04-08 |
| 1669935615 | Mecosta County Medical Center | Clinic/Center | 5991 95th Ave, Evart, MI 49631-9386 | 2019-04-08 |
| 1003209255 | Mecosta County Medical Center | Nurse Practitioner | 722 Locust St, Big Rapids, MI 49307-2040 | 2015-03-12 |
| 1891109591 | Mecosta County Medical Center | Clinic/Center | 722 Locust St, Ste 2, Big Rapids, MI 49307-2040 | 2014-06-20 |
| 1366725954 | Mecosta County Medical Center | Physical Medicine & Rehabilitation | 605 Oak St, Big Rapids, MI 49307-2048 | 2011-09-21 |
| 1891075479 | Mecosta County Medical Center | Obstetrics & Gynecology | 722 Locust St, Big Rapids, MI 49307-2040 | 2011-08-26 |
| 1508146457 | Mecosta County Medical Center | Family Medicine | 705 Oak St, Big Rapids, MI 49307-3107 | 2011-08-24 |
| Street Address |
8354 100TH AVE |
| City | STANWOOD |
| State | MI |
| Zip Code | 49346-8344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730748609 | Katelin Anne Aris | Nurse Practitioner | 8354 100th Ave, Stanwood, MI 49346-8344 | 2019-06-13 |
| 1699104315 | Tiffany L Lattimore | Physician Assistant | 8354 100th Ave, Stanwood, MI 49346-8344 | 2013-11-04 |
| 1881620359 | Michelle Rose Godfrey | Physician Assistant | 8354 100th Ave, Suite 1, Stanwood, MI 49346-8344 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114134681 | Gregerson Radiology Consultants Ltd. | Chiropractor | 8004 Red Fox Rd, Stanwood, MI 49346 | 2007-05-16 |
| 1073969960 | Spine By Design Inc. | Chiropractor | 10032 Buchanan Rd, Stanwood, MI 49346 | 2016-05-10 |
| 1477973493 | Mecosta County Medical Center | Clinic/Center | 8354 100th Ave Ste 1, Canadian Lakes, MI 49346-8345 | 2014-04-17 |
| 1326205030 | Brian Lee Potter | Physical Therapist | 8354 100th Ave Ste 2, Canadian Lakes, MI 49346-8345 | 2008-05-20 |
| 1467906461 | Sandra Hansen | Technician, Other | 9610 Pere Marquette Dr, Stanwood, MI 49346-8359 | 2016-08-08 |
| 1255877965 | Michael Jerome Bausano | Social Worker | 6713 Sunset Ln, Canadian Lakes, MI 49346-8832 | 2017-01-19 |
| 1730299199 | Lois P. Brooks | Psychologist | 6977 Abbey Ln, Stanwood, MI 49346-8994 | 2006-08-30 |
| 1659458255 | L. P. Brooks, Ed.d., Pllc | Psychologist | 6977 Abbey Ln, Stanwood, MI 49346-8994 | 2006-11-01 |
| 1619274669 | Country Living Adult Foster Care | Assisted Living Facility | 16966 6 Mile Rd, Stanwood, MI 49346-9104 | 2011-02-26 |
| 1306334362 | Kyle Hansen | Physical Therapist | 18397 11 Mile Rd, Stanwood, MI 49346-9557 | 2018-04-25 |
| Find all providers in zip 49346 | ||||
| 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 |
|---|---|---|---|---|
| 1740888338 | Susan Lee Garrett-jones | Social Worker | 30517 7th Ave. Ne, Stanwood, WA 98292-9665 | 2020-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629886 | Suzanne Mcnees | Social Worker | 7373 Morgan Rd E, Battle Creek, MI 49017-9705 | 2020-11-07 |
| 1366043408 | Azeldri Van Der Wath | Social Worker | 41423 Ambercrest Dr, Sterling Heights, MI 48314-3719 | 2020-11-05 |
| 1972104834 | Anne Elizabeth Rife | Social Worker | 4660 Marsh Rd Ste 27, Okemos, MI 48864-2143 | 2020-11-05 |
| 1952902199 | Nakedae R. Cooper | Social Worker | 5847 S Mohawk Ave, Ypsilanti, MI 48197-7119 | 2020-11-04 |
| 1104427368 | Kizzy Nieves | Social Worker | 52280 Cedar Mill Dr, Macomb, MI 48042-5658 | 2020-11-04 |
| 1225639560 | Ananya Avinash | Social Worker | 235 Olivia Ct Nw, Grand Rapids, MI 49504-5897 | 2020-11-03 |
| 1568062107 | Noor Mateen | Social Worker | 2564 Carpenter Rd, Ann Arbor, MI 48108-1175 | 2020-10-30 |
| 1588264808 | January Haulenbeek | Social Worker | 10093 W P Ave, Kalamazoo, MI 49009-4405 | 2020-10-27 |
| 1508466814 | Betsy Michelle Ulicki | Social Worker | 5787 Ball Ave, Harrison, MI 48625-9385 | 2020-10-27 |
| 1982203485 | Becoming You Therapy Pllc | Social Worker | 2346 Mission Hills Dr Se, Grand Rapids, MI 49546-7804 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.