NORTHEAST GUIDANCE CENTER (NPI# 1235552118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235552118 |
| Entity Type | Organization |
| Organization Name | NORTHEAST GUIDANCE CENTER |
| Practice Address |
2900 Conner St Detroit MI 48215-2407 |
| Mailing Address |
2900 Connor Detroit MI 48203 |
| Practice Telephone | 3133081400 |
| Mailing Telephone | 3133081400 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |
| Authorized Official Name | TONY LAMONT PRICE (POLICE LIAISON) |
| Authorized Official Telephone | 3137843336 |
| Authorized Official Credential | LLBSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6802087135 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
| 1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
| 1922037134 | Northeast Guidance Center | Psychiatry & Neurology | 12800 E Warren Ave, Detroit, MI 48215-2601 | 2006-07-01 |
| 1427336411 | Northeast Guidance Center | Community/Behavioral Health | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2011-07-26 |
| 1053542498 | Northeast Guidance Center | Health Maintenance Organization | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2009-08-03 |
| 1386881050 | Northeast Guidance Center | Health Maintenance Organization | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2009-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHEAST GUIDANCE CENTER | 2900 Conner, Detroit, MI 48215-2061 |
| Street Address |
2900 CONNER ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48215-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
| 1619576378 | Michele Lynn Tucker | Social Worker | 2900 Conner St, Detroit, MI 48215-2407 | 2020-10-22 |
| 1881208890 | Josh Borgelt | Student in an Organized Health Care Education/Training Program | 2900 Conner St, Detroit, MI 48215-2407 | 2020-09-07 |
| 1447803853 | Jacinta L Mason | Social Worker | 2900 Conner St, Detroit, MI 48215-2407 | 2019-07-24 |
| 1912563511 | Kamicha Charisse Hawkins | Peer Specialist | 2900 Conner St, Detroit, MI 48215-2407 | 2019-05-20 |
| 1699237180 | Tanya Y Frazier | Peer Specialist | 2900 Conner St, Detroit, MI 48215-2407 | 2019-04-03 |
| 1720514664 | Elizabeth Sledge | Counselor | 2900 Conner St, Detroit, MI 48215-2407 | 2017-05-11 |
| 1912368754 | Pekisha Lee Hemlinger | Counselor | 2900 Conner St, Detroit, MI 48215-2407 | 2016-03-07 |
| 1013300276 | Alton Reid Sr. | Counselor | 2900 Conner St, Detroit, MI 48215-2407 | 2015-03-12 |
| 1235520107 | Geneva Ann Giles | Social Worker | 2900 Conner St, Detroit, MI 48215-2407 | 2015-02-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
| 1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
| 1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
| 1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
| 1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
| 1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
| 1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
| 1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
| 1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
| 1831340066 | Asha Kenyatta | Case Manager/Care Coordinator | 13334 E. Warren, Detroit, MI 48215 | 2008-10-07 |
| Find all providers in zip 48215 | ||||
| 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.