PROFESSIONAL FAMILY RESOURCES & ASSOCIATES LLC (NPI# 1952653271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952653271 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL FAMILY RESOURCES & ASSOCIATES LLC |
| Practice Address |
2300 Lineville Rd Ste 200 Green Bay WI 54313-8859 |
| Mailing Address |
2300 Lineville Road Ste 201 Green Bay WI 54313 |
| Practice Telephone | 9204347457 |
| Practice Fax Number | 9204347460 |
| Mailing Telephone | 9204347457 |
| Mailing Fax Number | 9204347460 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |
| Authorized Official Name | GAIL SELL (OWNER/SOLO PRACTIONER) |
| Authorized Official Telephone | 9204347457 |
| Authorized Official Credential | MA LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 610-124 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39737600 | 05 |
| Street Address |
2300 LINEVILLE RD STE 200 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54313-8859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823420 | Martha Lynn Drew | Licensed Practical Nurse | 3101 Molly Brown Lane, Green Day, WI 54313 | 2019-04-17 |
| 1831691872 | Melanie Hammerbeck | Dentist | 1756 Cardinal Ln, Green Bay, WI 54313 | 2018-03-06 |
| 1649727108 | Amanda Marie Mckeefry | Dental Hygienist | 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 | 2016-09-01 |
| 1326594813 | Kaylee Schartner | Dental Hygienist | 2304 Lineville Road, Suite 100, Suamico, WI 54313 | 2016-08-25 |
| 1134500226 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Road, Green Bay, WI 54313 | 2015-06-15 |
| 1467849307 | Maureen Riordan | Specialist/Technologist | 2957 S Telemark Cir., Green Bay, WI 54313 | 2015-04-17 |
| 1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
| 1407092737 | Sara Ann Anderson | Registered Nurse | 2691 Shade Tree Ln, Green Bay, WI 54313 | 2008-12-16 |
| 1467601344 | Melissa Lea Socha | Speech-Language Pathologist | 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 | 2008-09-16 |
| 1003070707 | Anne Marie Hein | Physical Therapist | 3101 S Packerland Dr, Green Bay, WI 54313 | 2008-07-11 |
| Find all providers in zip 54313 | ||||
| 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 |
|---|---|---|---|---|
| 1326660085 | Rebecca L Green Blanks | Social Worker | 2640 West Point Road, Green Bay, WI 54304-1344 | 2020-05-15 |
| 1942245493 | Gail J Krawczyk | Social Worker | 2631 Packerland Dr, Suite 104c, Green Bay, WI 54313-4130 | 2006-06-18 |
| 1245846195 | Janna Nordeman | Social Worker | 1221 Bellevue St Ste 113, Green Bay, WI 54302-2155 | 2020-09-16 |
| 1629683958 | Stephanie O'connor | Social Worker | 123 N Oakland Ave, Green Bay, WI 54303-2831 | 2020-09-14 |
| 1134745037 | Kayla Johnson | Social Worker | 926 Willard Dr Ste 136, Green Bay, WI 54304-5296 | 2020-06-17 |
| 1447886635 | Rachel Gregory | Social Worker | 1499 6th St, Green Bay, WI 54304-2252 | 2020-03-19 |
| 1407486541 | Gabrielle Cassandra Jochman | Social Worker | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2020-01-16 |
| 1104469360 | Kelsey Mcnamee | Social Worker | 2733 S Ridge Rd, Green Bay, WI 54304-5513 | 2019-10-21 |
| 1164077103 | Chloe Anderson | Social Worker | 123 N Oakland Ave, Green Bay, WI 54303-2831 | 2019-08-06 |
| 1770135006 | Angela Rodriguez | Social Worker | 330 S Broadway, Green Bay, WI 54303-1518 | 2019-07-16 |
| Find all providers in GREEN BAY | ||||
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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.