NICOLLE TSERTOS (NPI# 1184100091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184100091 |
| Entity Type | Individual |
| Full Name | NICOLLE TSERTOS |
| Practice Address |
1200 N Telegraph Rd Bldg 32e Pontiac MI 48341-1032 |
| Mailing Address |
465 W Goulson Ave Hazel Park MI 48030-1770 |
| Practice Telephone | 2484646055 |
| Mailing Telephone | 2482951258 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
1200 N TELEGRAPH RD BLDG 32E |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669787271 | Tradina Taylor | Social Worker | 1200 N Telegraph Rd Bldg 32e, Pontiac, MI 48341-1032 | 2010-08-09 |
| 1225522675 | Erica Janel Montgomery | Social Worker | 1200 N Telegraph Rd Bldg 32e, Pontiac, MI 48341-1032 | 2018-06-19 |
| 1801386099 | Susan E Butler | Psychologist | 1200 N Telegraph Rd Bldg 32e, Pontiac, MI 48341-1032 | 2018-05-14 |
| 1235629650 | Amber Tirmizi | Social Worker | 1200 N Telegraph Rd Bldg 32e, Pontiac, MI 48341 | 2018-05-10 |
| 1902305600 | Sarah Elizabeth Bayley | Emergency Medical Technician, Paramedic | 1200 N Telegraph Rd Bldg 32e, Pontiac, MI 48341-1032 | 2018-02-08 |
| 1497254395 | Veronica Mangune | Registered Nurse | 1200 N Telegraph Rd Bldg 32e, Pontiac, MI 48341-1032 | 2018-02-06 |
| 1285145771 | David Johns | Specialist/Technologist, Other | 1200 N Telegraph Rd Bldg 32e, Pontiac, MI 48341-1032 | 2017-10-24 |
| 1780195586 | Patrick Stinson Edwards | Technician | 1200 N Telegraph Rd Bldg 32e, Pontiac, MI 48341-1032 | 2017-10-19 |
| 1508384819 | Troy Wright | Emergency Medical Technician, Paramedic | 1200 N Telegraph Rd Bldg 32e, Pontiac, MI 48341-1032 | 2017-09-07 |
| 1477096790 | Sally Ann Mudge | Registered Nurse | 1200 N Telegraph Rd Bldg 32e, Pontiac, MI 48341-1032 | 2016-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449958 | Shaquala Phillips | Social Worker | 666 Palmer Dr, Pontiac, MI 48342-1854 | 2020-05-27 |
| 1265955538 | Shanti Marie Turner | Social Worker | 26 N Shirley St, Pontiac, MI 48342-2758 | 2017-07-19 |
| 1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
| 1265982078 | Keon Sims | Social Worker | 185 Elizabeth Lake Rd, Pontiac, MI 48341-1010 | 2016-10-05 |
| 1275941551 | Lara Hatch | Social Worker | 1685 Baldwin Ave Ste A, Pontiac, MI 48340-1115 | 2014-07-30 |
| 1356782361 | Shawntrelle Contessa Pettiford | Social Worker | 23 N Shirley St, Pontiac, MI 48342-2759 | 2013-07-08 |
| 1972942795 | Larissa Anthea Heap | Social Worker | 51111 Woodward Ave, Pontiac, MI 48342-5036 | 2013-06-14 |
| 1710322185 | Constance Brown | Social Worker | 1015 University Dr, Pontiac, MI 48342-1869 | 2013-04-30 |
| 1003042755 | Melanie Barbara Snyder-lindblom | Social Worker | 300 W Huron St, Pontiac, MI 48341-1420 | 2009-06-09 |
| 1083826069 | Margaret M. Mcivor | Social Worker | 35 West Huron, Suite 10 South, Pontiac, MI 48342 | 2007-05-04 |
| Find all providers in PONTIAC | ||||
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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.