MICHAEL DAVID CLOSE (NPI# 1104972322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104972322 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID CLOSE |
| Credential | LMSW |
| Practice Address |
990 7th North St Liverpool NY 13088-3148 |
| Mailing Address |
107 Dale St Syracuse NY 13208-2325 |
| Practice Telephone | 3156341100 |
| Practice Fax Number | 3156341122 |
| Mailing Telephone | 3156341100 |
| Mailing Fax Number | 3156341122 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609932037 | Michael Jon Close | Physical Therapist | 850 Holt Drive, Bigfork, MT 59911 | 2006-12-29 |
| 1821086612 | Michael L Close | Chiropractor | 1042 N Fairfax Ave, West Hollywood, CA 90046-6103 | 2005-10-06 |
| 1992893184 | Michael G Close | Internal Medicine | 5137 N Broadway St, Chicago, IL 60640-3009 | 2006-10-11 |
| Street Address |
990 7TH NORTH ST |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-3148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912098666 | The Caring Coalition of Central New York | Hospice Care, Community Based | 990 7th North St, Liverpool, NY 13088-3148 | 2006-09-27 |
| 1073740122 | Julie Patricia King | Family Medicine | 990 7th North St, Liverpool, NY 13088-6148 | 2009-06-16 |
| 1013118603 | Palliative Care Physicians of Central New York | Family Medicine | 990 7th North St, Liverpool, NY 13088-3148 | 2007-05-30 |
| 1932237237 | Gail Marie Longcore | Counselor | 990 7th North St, Liverpool, NY 13088-3148 | 2007-03-01 |
| 1730266123 | Judith A Setla | Internal Medicine | 990 7th North St, Liverpool, NY 13088-3148 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| 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 |
|---|---|---|---|---|
| 1568087765 | Megan L Dietz | Social Worker | 320 Garfield Ave, Liverpool, NY 13088-4380 | 2020-06-12 |
| 1992289623 | Nancy A Radecki Lcsw PC | Social Worker | 290 Elwood Davis Rd Ste 301, Liverpool, NY 13088-2127 | 2018-09-19 |
| 1174027916 | Marisa G Allnut | Social Worker | 305 Vine St Ste 6, Liverpool, NY 13088-5139 | 2018-03-19 |
| 1801204565 | Kathryn L Jewell | Social Worker | 4991 Marshfield Ct, Liverpool, NY 13090-3622 | 2014-07-25 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1598038374 | Kelly Kristina Kolodziejski | Social Worker | 916 Old Liverpool Rd Ste B, Liverpool, NY 13088-8536 | 2012-02-09 |
| 1982998985 | Helen Johnson | Social Worker | 850 Vine St, Apt 6c, Liverpool, NY 13088-5239 | 2011-06-07 |
| 1801107149 | Dina Nancy Schwartz | Social Worker | 1401 Clayton Manor Dr Apt 7, Liverpool, NY 13088-5372 | 2010-07-01 |
| 1366610735 | Jodie C Wilson | Social Worker | 407 Tulip Street, Liverpool, NY 13088-4962 | 2008-02-19 |
| 1518151646 | Lisa A Caruso | Social Worker | 105 Woodside Ln, Liverpool, NY 13090-2525 | 2007-08-31 |
| Find all providers in LIVERPOOL | ||||
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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.