MRS. STEPHANIE ANNE WAMBOLD (NPI# 1194253492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194253492 |
Entity Type | Individual |
Full Name | MRS. STEPHANIE ANNE WAMBOLD |
Other Name | STEPHANIE ANNE CERQUA |
Credential | MSW |
Practice Address |
4302 Underhill Dr Flint MI 48506 |
Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
Practice Telephone | 7349982163 |
Mailing Telephone | (734) 936-2047 |
Enumeration Date | 2017-05-31 |
Last Update Date | 2017-08-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801093939 | MI | Behavioral Health & Social Service Providers |
Street Address |
4302 UNDERHILL DR |
City | FLINT |
State | MI |
Zip Code | 48506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427151679 | Gertrude Burton Rutherford | Social Worker | 4302 Underhill Dr, Flint, MI 48506 | 2006-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629453725 | Sydney Wilson | Case Manager/Care Coordinator | 1526 Utah Ave, Flint, MI 48506 | 2015-07-30 |
1790199313 | Laurel Anne Paradise-bumhoffer | Nurse Practitioner | 3807 North Center Road, Flint, MI 48506 | 2014-06-12 |
1285982520 | Andrea Ann Rossi | Nurse Practitioner | 4302 Underhill Drive, Flint, MI 48506 | 2012-08-16 |
1134433329 | Shelia Evette Tucker | Social Worker | 3807 North Center Rd, Flint, MI 48506 | 2010-07-30 |
1851629125 | Amber Mayhew Homecare | Occupational Therapist | 5503 Mcnamara Lane, Flint, MI 48506 | 2009-11-25 |
1285872093 | Sherrie A Medling | Registered Nurse | 2811 E Court, Flint, MI 48506 | 2009-02-02 |
1013121631 | Jeffrey Wade Anderson | Occupational Therapist | 3011 North Center Road, Briarwood Manor, Flint, MI 48506 | 2007-05-10 |
1396803508 | Kalman J Knizner | Dentist | 5529 Richfield Rd, Flint, MI 48506 | 2006-12-04 |
1164532966 | Bethany Lynn Pummill | Nurse Practitioner | 3011 North Center Rd, Flint, MI 48506 | 2006-08-30 |
1104218783 | Tonya Evans | Case Manager/Care Coordinator | 128 N Warren Ave, Saginaw, MI 48506 | 2015-02-19 |
Find all providers in zip 48506 |
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 |
---|---|---|---|---|
1285244798 | Toyonna Robbins | Social Worker | 1045 Royalcrest Dr, Flint, MI 48532-3244 | 2020-08-10 |
1053920801 | Sarina Renee Harris | Social Worker | 2387 S Linden Rd Ste 137, Flint, MI 48532-5488 | 2020-07-28 |
1376167460 | Jaleesa Pouncil | Social Worker | 1296 Springborrow Dr, Flint, MI 48532-2171 | 2020-06-03 |
1427686153 | Seth A Kindel | Social Worker | 338 Allendale Pl, Flint, MI 48503-4850 | 2020-03-30 |
1801420708 | Stacey Allen | Social Worker | 5401 Gateway Ctr Ste D, Flint, MI 48507-3980 | 2020-02-28 |
1508428251 | Live Your Life Counseling & Treatment Services LLC | Social Worker | 653 S Saginaw St, Flint, MI 48502-1512 | 2019-07-02 |
1053871376 | Stones for Hope Pllc | Social Worker | G3500 Flushing Rd Ste 140, Flint, MI 48504-4235 | 2019-03-22 |
1467941740 | The Therapy Center for Wellness and Recovery LLP | Social Worker | 2503 S Linden Rd Ste 210, Flint, MI 48532-5449 | 2018-05-02 |
1184095242 | Jessica Dixon | Social Worker | 3600 S Dort Hwy Ste 54, Flint, MI 48507-2054 | 2015-10-15 |
1083080857 | Koaster Brim | Social Worker | 4212 Lennon Rd Ste 1, Flint, MI 48507-1080 | 2015-08-17 |
Find all providers in FLINT |
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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.