COUNTY OF WAYNE (NPI# 1114144847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114144847 |
| Entity Type | Organization |
| Organization Name | COUNTY OF WAYNE |
| Other Organization Name | THIRD CIRCUIT COURT-CLINIC FOR CHILD STUDY |
| Practice Address |
1025 E Forest Ave Building C Detroit MI 48207-1024 |
| Practice Telephone | 3138332800 |
| Practice Fax Number | 3138332841 |
| Mailing Telephone | 3138332800 |
| Mailing Fax Number | 3138332841 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2010-01-11 |
| Authorized Official Name | MS. MICHELLE A ESTERBROOK (DIRECTOR OF CLINIC OPERATIONS) |
| Authorized Official Telephone | 3138332830 |
| Authorized Official Credential | MSW, LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| Third Circuit Court-Clinic for Child Study | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255479390 | County of Wayne | Case Management | 318 10th St, Honesdale, PA 18431-1919 | 2007-02-01 |
| 1811035199 | County of Wayne | Case Management | 323 10th St, Honesdale, PA 18431-1918 | 2007-02-01 |
| 1306984448 | County of Wayne | Public Health or Welfare | 648 Park St, Suite A, Honesdale, PA 18431-1446 | 2007-02-01 |
| 1568534717 | County of Wayne | Skilled Nursing Facility | 1529 Nye Rd, Lyons, NY 14489-9111 | 2006-11-14 |
| 1972602597 | County of Wayne | Home Health | 1519 Nye Rd., Suite 200, Lyons, NY 14489 | 2006-09-21 |
| 1447353727 | County of Wayne | Clinic/Center | 405 North Basin Road, Fairfield, IL 62837 | 2006-09-05 |
| 1003824855 | County of Wayne | Clinic/Center | 1519 Nye Road, Lyons, NY 14489 | 2006-08-04 |
| 1588631980 | County of Wayne | Ambulance | 7336 Route 31, Lyons, NY 14489 | 2006-03-03 |
| 1871594622 | County of Wayne | Case Management | 301 N Herman St, Goldsboro, NC 27530-2973 | 2005-08-02 |
| 1073800983 | County of Wayne | Clinic/Center | 301 N Herman St, Goldsboro, NC 27530-2935 | 2011-06-30 |
| Street Address |
1025 E FOREST AVE BUILDING C |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740891498 | Leathe Dantzler | Psychologist | 1025 E Forest Ave, Detroit, MI 48207-1098 | 2020-08-14 |
| 1790309334 | Wendy Sue Lawson | Social Worker | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2020-05-29 |
| 1265075253 | Ian J Moore | Psychologist | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2019-10-22 |
| 1124661459 | Safaa Issawi | Psychologist | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2019-10-18 |
| 1003321357 | Tamika L. Matlock | Counselor | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2017-12-08 |
| 1154830503 | Latoya Taylor | Psychologist | 1025 E Forest Ave, Bldg C Room 216, Detroit, MI 48207 | 2017-09-28 |
| 1063950715 | Ahmar Zaman | Psychologist | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2017-02-02 |
| 1043752124 | Jochebed Swilley | Social Worker | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2016-11-07 |
| 1407216468 | Ruth Smith | Social Worker | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2016-03-03 |
| 1083074538 | Shaundrea Whiting | Social Worker | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2016-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750944609 | Empowered Living Services | Case Management | 18100 Meyers Rd, Detroit, MI 48235-1493 | 2019-04-17 |
| 1609350677 | The Demarco Project | Case Management | 100 Riverfront Dr Fl 3, Detroit, MI 48226-4500 | 2018-09-17 |
| 1346748746 | Parents and Children Together | Case Management | 18426 Wildemere St, Detroit, MI 48221-2213 | 2018-01-31 |
| 1811401771 | Travelers Aid Society Metropolitan Detroit | Case Management | 65 Cadillac Sq Ste 3000, Detroit, MI 48226-2880 | 2017-11-29 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558802991 | Whincare | Case Management | 3851 W Kirby St, Detroit, MI 48208-1448 | 2017-03-18 |
| 1982143384 | Strategic Operation Solutions | Case Management | 407 E. Fort St., Suite 407, Detroit, MI 48226 | 2017-02-17 |
| 1639616956 | Fanning Casemanagement Services LLC | Case Management | 19456 Strathmoor St, Detroit, MI 48235-1919 | 2017-01-24 |
| 1477005924 | Pr Kids | Case Management | 18223 Mcintyre St, Detroit, MI 48219-2366 | 2016-11-01 |
| 1114478229 | Impact Community Health | Case Management | 16200 Rosemont Ave, Detroit, MI 48219-4168 | 2016-10-24 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on COUNTY OF WAYNE.
| 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.