MS. FAITH POLK (NPI# 1134459092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134459092 |
| Entity Type | Individual |
| Full Name | MS. FAITH POLK |
| Credential | SWT |
| Practice Address |
22266 Civic Center Dr # 204 Southfield MI 48033-2622 |
| Practice Telephone | 3132477250 |
| Mailing Telephone | 3132477250 |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 6803060542 | MI | Other Service Providers |
| Street Address |
22266 CIVIC CENTER DR # 204 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090953 | Jordan Johnson | Case Manager/Care Coordinator | 19710 Cherry Hill St, Southfield, MI 48076-1061 | 2020-10-12 |
| 1891301347 | Cierra C Coward | Case Manager/Care Coordinator | 20752 Camden Sq Apt 205, Southfield, MI 48076-3824 | 2020-09-21 |
| 1407460884 | Kashmin Dalal | Case Manager/Care Coordinator | 17320 W 12 Mile Rd Ste 100, Southfield, MI 48076-2102 | 2020-09-03 |
| 1932765575 | Arletha Ann Brooks | Case Manager/Care Coordinator | 29455 Stellamar Dr, Southfield, MI 48076-5270 | 2019-05-17 |
| 1780117424 | Riaz Hussain | Case Manager/Care Coordinator | 26645 W 12 Mile Rd Ste 109, Southfield, MI 48034-7811 | 2017-04-10 |
| 1447612304 | G&r Case Management Services, LLC | Case Manager/Care Coordinator | 15900 W 10 Mile Rd, Suite 105, Southfield, MI 48075-2036 | 2016-03-22 |
| 1144627027 | Nurturing Our Future | Case Manager/Care Coordinator | 25925 Telegraph Rd Ste 103, Southfield, MI 48033-2527 | 2014-11-20 |
| 1487070595 | Lishawnna Michelle Binion | Case Manager/Care Coordinator | 15980 Fairfax St, Southfield, MI 48075-3017 | 2014-03-13 |
| 1982025458 | Mytia Kencaid | Case Manager/Care Coordinator | 16200 Carriage Lamp Ct Apt 702, Southfield, MI 48075-3520 | 2013-12-30 |
| 1730529405 | Jacquelyn Starks | Case Manager/Care Coordinator | 21827 Hidden Rivers Dr N, Southfield, MI 48075-1035 | 2013-06-26 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on MS. FAITH POLK.
| 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.