DR. KENNETH EDWARD REID (NPI# 1154505071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154505071 |
| Entity Type | Individual |
| Full Name | DR. KENNETH EDWARD REID |
| Credential | PH.D., LMSW |
| Practice Address |
5220 Lovers Lane Ll 100 Portage MI 49002 |
| Mailing Address |
3830 Ferndale Ave. Kalamazoo MI 49001 |
| Practice Telephone | 2693814442 |
| Mailing Telephone | 2693453962 |
| Mailing Fax Number | 2693817067 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801006057 | MI | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 4101000350 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962780700 | Kenneth Aaron Reid | Physical Therapy Assistant | 59 Townsend Street, Boston, MA 02119 | 2011-07-27 |
| 1790250520 | Kenneth E Reid | Counselor | 22320 Foothill Blvd, Hayward, CA 94541-2885 | 2018-10-08 |
| 1992978308 | Kenneth J. Reid | Nurse Practitioner | 275 North St, Act Team, Harrison, NY 10528-1140 | 2008-04-07 |
| 1861421851 | Kenneth Marshall Reid | Anesthesiology | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2006-07-02 |
| 1770565798 | Kenneth J. Reid Jr. | Pediatrics | 1710 14th St, Meridian, MS 39301-4140 | 2005-11-16 |
| Street Address |
5220 LOVERS LANE LL 100 |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154391449 | Chad E Muffley | Psychologist | 5220 Lovers Lane, Suite 120, Portage, MI 49002 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| 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 |
|---|---|---|---|---|
| 1902431380 | Lori E King | Social Worker | 111 E Mullett St, Portage, WI 53901-2325 | 2020-03-06 |
| 1508414368 | Kylie Marie Bader | Social Worker | 614 Romence Rd Ste 245, Portage, MI 49024-3613 | 2019-08-26 |
| 1922651041 | Matthew Jackson | Social Worker | 1820 Pleasant Dr, Portage, MI 49002-5604 | 2019-07-17 |
| 1770044265 | Marie Jeanette Brown | Social Worker | 10784 Schuur St, Portage, MI 49024-7732 | 2019-03-27 |
| 1699249557 | Angela Gutierrez | Social Worker | 2428 Sea Horse St, Portage, IN 46368-6509 | 2019-01-14 |
| 1093288680 | Connected Counseling LLC | Social Worker | 1591 W Centre Ave Ste 103, Portage, MI 49024-5342 | 2019-01-07 |
| 1164925269 | Joy Unlimited Counseling Center, Plc | Social Worker | 6100 Newport Rd Ste 222a, Portage, MI 49002-9235 | 2018-03-14 |
| 1316340029 | Rebecca Clore | Social Worker | 6412 Hampton St, Portage, MI 49024-2532 | 2014-10-08 |
| 1417395393 | Barbara Joanne O'rourke | Social Worker | 721 W Centre Ave, Portage, MI 49024-5309 | 2013-06-12 |
| 1952654162 | Kristin Ranum | Social Worker | 322 Dewitt St, Portage, WI 53901-2114 | 2012-10-25 |
| Find all providers in PORTAGE | ||||
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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.