ENEZIAH WALTERS (NPI# 1194383802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194383802 |
| Entity Type | Individual |
| Full Name | ENEZIAH WALTERS |
| Practice Address |
2111 University Park Dr Ste 400 Okemos MI 48864-6907 |
| Mailing Address |
Po Box 10 Mason MI 48854-0010 |
| Practice Telephone | 5177984944 |
| Mailing Telephone | 5176769788 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801108006 | MI | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 6801102859 | MI | Behavioral Health & Social Service Providers |
| Street Address |
2111 UNIVERSITY PARK DR STE 400 |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-6907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205245461 | Coat of Many Colors LLC | Social Worker | 2111 University Park Dr Ste 400, Okemos, MI 48864-6907 | 2014-08-12 |
| 1578180600 | Artesia Renee Wilder | Counselor | 2111 University Park Dr Ste 400, Okemos, MI 48864-6907 | 2020-07-06 |
| 1912523218 | Jonathan Wesley Lawrence | Social Worker | 2111 University Park Dr Ste 400, Okemos, MI 48864-6907 | 2020-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| 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 |
|---|---|---|---|---|
| 1558903674 | Resilient Life Counseling and Consultation Services LLC | Social Worker | 3800 Heritage Ave # 2, Okemos, MI 48864-2869 | 2019-10-09 |
| 1396134557 | Lindsay Allarding | Social Worker | 3899 Okemos Rd Ste A1, Okemos, MI 48864-3666 | 2015-01-12 |
| 1205245461 | Coat of Many Colors LLC | Social Worker | 2111 University Park Dr Ste 400, Okemos, MI 48864-6907 | 2014-08-12 |
| 1417397670 | Tapiwa Kahari | Social Worker | 2127 University Park Dr, Okemos, MI 48864-5928 | 2013-07-02 |
| 1518213495 | Shira Naama Glogower | Social Worker | 2127 University Park Dr Ste 300o, Okemos, MI 48864-5928 | 2012-07-30 |
| 1417106725 | Jennifer Edsall | Social Worker | 3493 Woods Edge Ste 103, Okemos, MI 48864-6030 | 2008-09-10 |
| 1972655959 | Joan Marie Penfield | Social Worker | 2145 University Park, #375, Okemos, MI 48864-6902 | 2007-01-18 |
| 1497855167 | Beth S Roberts | Social Worker | 2193 Association Dr, Suite 100, Okemos, MI 48864-4903 | 2006-09-23 |
| 1477653061 | Midanco Company | Social Worker | 4123 Okemos Rd Ste 14, Okemos, MI 48864-2818 | 2006-09-23 |
| 1932116563 | Kay Janet Pratt | Social Worker | 3640 E Arbutus Drive, Okemos, MI 48864-4043 | 2006-08-03 |
| Find all providers in OKEMOS | ||||
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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.