JESSICA EMILY KOTA (NPI# 1174883888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174883888 |
| Entity Type | Individual |
| Full Name | JESSICA EMILY KOTA |
| Credential | LLMSW |
| Practice Address |
4880 Lawndale St Detroit MI 48210-2010 |
| Mailing Address |
5315 Ravenswood Rd Kimball MI 48074-3215 |
| Practice Telephone | 3138466030 |
| Mailing Telephone | 5176140394 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801094178 | MI | Behavioral Health & Social Service Providers |
| Street Address |
4880 LAWNDALE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48210-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194790071 | Josette Marie French | Family Medicine | 4880 Lawndale St, Detroit, MI 48210-2010 | 2006-02-22 |
| 1891330767 | Ruth Meyers | Social Worker | 4880 Lawndale St, Detroit, MI 48210-2010 | 2019-11-14 |
| 1699248724 | Laura Diane Sorrells | Case Manager/Care Coordinator | 4880 Lawndale St, Detroit, MI 48210-2010 | 2019-01-11 |
| 1942774054 | Michael Timothy Carroll | Social Worker | 4880 Lawndale St, Detroit, MI 48210-2010 | 2019-01-11 |
| 1598238677 | Michael Luis Meza | Counselor | 4880 Lawndale St, Detroit, MI 48210-2010 | 2019-01-10 |
| 1114400256 | Leslie Marie Theisen | Nurse Practitioner | 4880 Lawndale St, Detroit, MI 48210-2010 | 2018-09-14 |
| 1881108405 | Christopher Neil Biek | Social Worker | 4880 Lawndale St, Detroit, MI 48210-2010 | 2017-11-17 |
| 1033631775 | American Indian Health and Family Services of Southeastern Mi Inc | In Home Supportive Care | 4880 Lawndale St, Detroit, MI 48210-2010 | 2017-07-14 |
| 1972955490 | Eric Leon Wilkins | Social Worker | 4880 Lawndale St, Detroit, MI 48210-2010 | 2016-07-08 |
| 1326404120 | Amy Runkle | Social Worker | 4880 Lawndale St, Detroit, MI 48210-2010 | 2016-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517606 | Southwest Solutions | Counselor | 5716 Michigan, Detroit, MI 48210 | 2019-09-19 |
| 1942676150 | Audrey Hall | Case Manager/Care Coordinator | 6576 Woodrow St, Detroit, MI 48210 | 2015-08-12 |
| 1952705147 | Barbara Denise Mccowin-west | Technician, Other | 6900 Mcgraw, Detroit, MI 48210 | 2014-10-16 |
| 1922259456 | Dawn Marie Sanderson | Counselor | 5613 Livernois, Detroit, MI 48210 | 2008-10-02 |
| 1366552804 | American Indian Health and Family Services of Southeastern Mi Inc | In Home Supportive Care | 4880 Lawndalestreet, Detroit, MI 48210 | 2006-08-30 |
| 1912950163 | Irwin Rabinowitz | Pharmacist | Junction Clinic Pharmacy 4771 Michigan Ave., Detroit, MI 48210 | 2006-05-18 |
| 1295229110 | Anne Marie Galus | Dentist | 5716 Michigan Ave, Detroit, MI 48210 | 2018-06-15 |
| 1124547948 | Sarah Fay Walsworth | Physician Assistant | 5716 Michigan Ave, Detroit, MI 48210 | 2017-09-13 |
| 1538305909 | Barbara Ann Menzies-williams | Internal Medicine | 6550 W Warren Ave, Detroit, MI 48210 | 2009-01-06 |
| 1760678437 | Clement T Piaskowski | Optometrist | 7433 Michigan Ave, Detroit, MI 48210 | 2007-09-17 |
| Find all providers in zip 48210 | ||||
| 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 |
|---|---|---|---|---|
| 1457958811 | Jeana L Rooks | Social Worker | 19340 Riverview St, Detroit, MI 48219-4684 | 2020-10-07 |
| 1457966749 | Crystal Radford | Social Worker | 229 Riverside Dr, Detroit, MI 48215-3010 | 2020-09-13 |
| 1285248799 | Lachonta Alise Conley | Social Worker | 12594 Promenade St, Detroit, MI 48213-1416 | 2020-09-02 |
| 1780297754 | Simone D Yancy | Social Worker | 14247 Riverview St, Detroit, MI 48223-2414 | 2020-08-28 |
| 1104435460 | Goddess Great | Social Worker | 17163 E Warren Ave, Detroit, MI 48224-2279 | 2020-07-23 |
| 1710501689 | Matthew Vanderwindt | Social Worker | 3554 Yorkshire Rd, Detroit, MI 48224-2324 | 2020-06-05 |
| 1669091286 | Evan Theodore Fulford | Social Worker | 19928 Lichfield Rd, Detroit, MI 48221-1363 | 2020-04-14 |
| 1669001335 | Eric Allan Haynes | Social Worker | 1454 Strathcona Dr, Detroit, MI 48203-1464 | 2020-04-05 |
| 1629601729 | Stephanie Beaton | Social Worker | 3011 W Grand Blvd Ste 406, Detroit, MI 48202-3011 | 2020-02-17 |
| 1871125781 | Amalia S Miralrio | Social Worker | 1214 Griswold St Apt 805, Detroit, MI 48226-1816 | 2020-02-08 |
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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.