ST. JOHN HOSPITAL CORPORATION (NPI# 1215133632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215133632 |
| Entity Type | Organization |
| Organization Name | ST. JOHN HOSPITAL CORPORATION |
| Other Organization Name | ST. JOHN OB CLINIC MSSP |
| Practice Address |
22201 Moross Rd Ste 370 Detroit MI 48236-2169 |
| Mailing Address |
43800 Garfield Rd Clinton Township MI 48038-1136 |
| Practice Telephone | 8008480202 |
| Practice Fax Number | 5862266949 |
| Mailing Telephone | 8008480202 |
| Mailing Fax Number | 5862266949 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SANDRA E WHITMAN (DIRECTOR) |
| Authorized Official Telephone | 5862266823 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MI | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| St. John OB Clinic MSSP | Doing Business As Name - Organization |
| Street Address |
22201 MOROSS RD STE 370 |
| City | DETROIT |
| State | MI |
| Zip Code | 48236-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760688 | Henry Grady Bone IIi | Internal Medicine | 22201 Moross Rd, Ste 260, Detroit, MI 48236-2175 | 2005-06-16 |
| 1790302396 | Zoheb Backer | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-30 |
| 1003432816 | Keerthana Reddy Banala | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd, Suite 80, Detroit, MI 48236 | 2020-06-18 |
| 1013533918 | Sajithaa Varadarasa | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-17 |
| 1578188918 | Rida Jamal | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd, Detroit, MI 48236 | 2020-06-11 |
| 1669097952 | Inderpal Singh | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-11 |
| 1376168732 | Mehdi Yavari | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd, Detroit, MI 48236 | 2020-06-11 |
| 1548884414 | Krishna Chandra Mahat | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-05 |
| 1508358540 | Vito Saracino | Internal Medicine | 22201 Moross Rd, Detroit, MI 48236-2169 | 2018-06-05 |
| 1457880718 | Marco Antonio Martinez | Obstetrics & Gynecology | 22201 Moross Rd, Suite 370, Detroit, MI 48236 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| 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 |
| Find all providers in DETROIT | ||||
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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.