JEWELL BALTIMORE (NPI# 1073631453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073631453 |
Entity Type | Individual |
Full Name | JEWELL BALTIMORE |
Practice Address |
300 W Mcnichols Rd Detroit MI 48203-2703 |
Mailing Address |
1449 W Philadelphia St Detroit MI 48206-2428 |
Practice Telephone | 3138678015 |
Practice Fax Number | 3138678040 |
Mailing Telephone | 3138678015 |
Enumeration Date | 2007-03-26 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
300 W MCNICHOLS RD |
City | DETROIT |
State | MI |
Zip Code | 48203-2703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437236940 | New Light Recovery Center, Inc. | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2006-11-01 |
1184180937 | Mae Catherine Rogers | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2019-02-18 |
1417435959 | Yolanda Michelle Gardner | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2018-08-06 |
1942725817 | Delano Jermaine Stokes I | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2017-08-11 |
1881119865 | Omosalewa Akinmolu Olafioye | Acupuncturist | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2017-08-10 |
1487179446 | Beverly Y Jones | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2017-08-10 |
1639694888 | Carmela Logwood | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2017-08-09 |
1710402136 | Joseph Scott Tencza | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2017-08-07 |
1942752688 | Gwendolyn Natasha Fuller | Licensed Practical Nurse | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2016-10-28 |
1366803587 | Reima Watson | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2016-03-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
1346601838 | Rainbow Center of Michigan | Health Maintenance Organization | 12501 Hamilton Ave., Highland Park, MI 48203 | 2016-03-11 |
1134502354 | Minds Moving In New Directions Inc | Community/Behavioral Health | 62 Massachusetts St, Highland Park, MI 48203 | 2015-07-07 |
1811312937 | Brea Holloway | Home Health | 20249 Yacama Rd, Detroit, MI 48203 | 2014-02-26 |
1770821795 | St John Providence Health Systems | Community/Behavioral Health | 1150 Lantz St, Detroit, MI 48203 | 2013-01-25 |
1871845412 | Waneta Darcell Dickerson | Social Worker | 169 W. Buena Vista, Highlandpark, MI 48203 | 2012-10-05 |
1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
1265728414 | Barbara Suzanne Tyson | Home Health | 301 Glendale St, Apt B8, Highland Park, MI 48203 | 2011-06-27 |
Find all providers in zip 48203 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386251841 | Diversified Community Services | Counselor | 10301 W 7 Mile Rd, Detroit, MI 48221-1962 | 2020-09-29 |
1750907853 | Ronnie Stephen | Counselor | 15025 Fenkell St, Detroit, MI 48227-2647 | 2020-06-24 |
1144860552 | Allen Hugh Warrick IIi | Counselor | 9605 Grand River Ave # A, Detroit, MI 48204-2139 | 2020-01-14 |
1396309878 | Darnesha Coy | Counselor | 17870 Dresden St, Detroit, MI 48205-3138 | 2019-04-30 |
1518438746 | Curron Thomas | Counselor | 16850 Wyoming St, Apartment 328, Detroit, MI 48221-3415 | 2018-12-16 |
1861962094 | Reid Talley | Counselor | 12010 Elmhurst, Detroit, MI 48206 | 2018-11-30 |
1205304359 | Life Challenge of Southeastern Michigan | Counselor | 17667 Pierson St, Detroit, MI 48219-2520 | 2018-11-07 |
1598233892 | Michigan Employment & Training Plus | Counselor | 6522 Piedmont St, Detroit, MI 48228-4950 | 2018-11-05 |
1821588773 | Avery Brown Jr. | Counselor | 8333 Townsend St, Detroit, MI 48213-2331 | 2018-05-16 |
1538669304 | Helping Hands Community Centers 1 | Counselor | 2434 Chicago Blvd, Detroit, MI 48206-1741 | 2018-02-17 |
Find all providers in DETROIT |
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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.