MICHELLE ANN ENTZMINGER (NPI# 1962712778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962712778 |
| Entity Type | Individual |
| Full Name | MICHELLE ANN ENTZMINGER |
| Credential | SW |
| Practice Address |
520 3rd St Nw 2055 Jamestown ND 58402-2055 |
| Mailing Address |
520 3rd St Nw Jamestown ND 58401-2968 |
| Practice Telephone | 7012536308 |
| Practice Fax Number | 7012536400 |
| Mailing Telephone | 7012536308 |
| Mailing Fax Number | 7012536400 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 54521 | 05 |
| Street Address |
520 3RD ST NW 2055 |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58402-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194778944 | South Central Human Service Center | Clinic/Center | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2006-05-19 |
| 1235745167 | Jodi L Grugel | Case Manager/Care Coordinator | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-09-16 |
| 1588277081 | Cristal Ackerman | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-08-25 |
| 1477166189 | Alyssa Eppen | Counselor | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-08-24 |
| 1528670833 | Tiffany F Johnson | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-08-18 |
| 1477184034 | Brandon L Dobson | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-01-31 |
| 1770123010 | Jessica Lynn Myers | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-01-15 |
| 1073153565 | Lisa Jo Harrington | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-01-13 |
| 1194365973 | Tina Mikkelson | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-01-09 |
| 1801432844 | Kayla Leslie Schneibel | Counselor | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2019-11-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225382658 | Amanda Rose Rosencrans | Physical Therapist | 701 3rd St Sw, Jamestown, ND 58402 | 2012-11-07 |
| 1386895290 | Thomas James Rene | Optometrist | 300 2nd Ave Ne, Jamestown Mall Suite 102, Jamestown, ND 58402 | 2008-10-09 |
| 1073720140 | Alpha Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1521 Business Loop E, Jamestown, ND 58402-0824 | 2007-05-17 |
| 1407063514 | Alpha Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1521 Business Loop E, Jamestown, ND 58402-0824 | 2007-05-17 |
| 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 |
|---|---|---|---|---|
| 1265074587 | Chelsea Marie Hayes | Social Worker | 4309 Millis Rd Apt 304, Jamestown, NC 27282-8966 | 2019-10-09 |
| 1609297530 | Linda Ebel | Social Worker | 116 1st St E, Jamestown, ND 58401-4253 | 2013-12-19 |
| 1861745358 | Jared D Slear | Social Worker | 75 Jones Gifford Ave, Jamestown, NY 14701-2828 | 2012-10-21 |
| 1043501190 | Kristen Kaiser | Social Worker | 300 2nd Ave Ne Ste 202, Jamestown, ND 58401-3373 | 2011-04-25 |
| 1043529399 | Jacqueline A. Joy | Social Worker | 560 W 3rd St Ste 17, Jamestown, NY 14701-4776 | 2010-10-05 |
| 1043497092 | Lynne M Salzer | Social Worker | 890 East Second Street, The Resource Center, Jamestown, NY 14201 | 2008-01-22 |
| 1659979045 | Brian Patrick Pumford | Social Worker | 166 Hotchkiss St, Jamestown, NY 14701-1748 | 2020-10-16 |
| 1235741174 | Renee Marshall | Social Worker | 332 E 4th St, Jamestown, NY 14701-5598 | 2020-08-21 |
| 1679109565 | Kimberlee King | Social Worker | 332 E 4th St, Jamestown, NY 14701-5502 | 2020-03-23 |
| 1982230884 | Olivia Ferguson | Social Worker | 200 E 3rd St Ste 5, Jamestown, NY 14701-5433 | 2020-03-23 |
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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.