MS. RENAE CHRISTINE FLACK (NPI# 1245449925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245449925 |
| Entity Type | Individual |
| Full Name | MS. RENAE CHRISTINE FLACK |
| Credential | MSW LMSW |
| Practice Address |
13101 Allen Road Suite 400 Southgate MI 48195 |
| Practice Telephone | 7347857704 |
| Practice Fax Number | 7347857734 |
| Mailing Telephone | 7347857704 |
| Mailing Fax Number | 7347857734 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801064831 | MI | Behavioral Health & Social Service Providers |
| Street Address |
13101 ALLEN ROAD SUITE 400 |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720108517 | The Guidance Center | Case Management | 13101 Allen Road, Unit 400, Southgate, MI 48195 | 2007-03-29 |
| 1841680824 | Jessica Toro | Psychologist | 13101 Allen Road, Southgate, MI 48195 | 2015-01-29 |
| 1851736094 | Dominique Jonta-michele Johnson | Counselor | 13101 Allen Road, Building 4, Southgate, MI 48195 | 2013-05-01 |
| 1952664088 | Karen Swanson Andrews | Social Worker | 13101 Allen Road, Southgate, MI 48195 | 2012-06-22 |
| 1891969911 | East River Associates LLC | Pharmacy | 13101 Allen Road, Suite 511, Southgate, MI 48195 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| 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 |
|---|---|---|---|---|
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1891213146 | Brittany Rina Mcmahon | Social Worker | 13111 Allen Rd, Southgate, MI 48195-2216 | 2017-09-07 |
| 1538512116 | Lori Susan Stovall | Social Worker | 16750 Quarry Rd Apt C1, Southgate, MI 48195-1446 | 2016-07-19 |
| 1811385446 | Randy Sidebottom | Social Worker | 15431 Dix Toledo Rd, Southgate, MI 48195-2662 | 2015-01-06 |
| 1154729275 | Amber Leigh Marie Hickman | Social Worker | 1 Heritage Dr Ste 520, Southgate, MI 48195-3051 | 2014-12-06 |
| 1518222942 | Sarah Marie Sukumaran | Social Worker | 18635 Bowie St., The Guidance Center, Southgate, MI 48195-5121 | 2012-07-11 |
| 1326313347 | Cherish Laverne Thomas | Social Worker | 13360 Greenview Dr, Apt 202, Southgate, MI 48195-3472 | 2012-03-09 |
| 1841560463 | Krystal Faye Stump | Social Worker | 13099 Allen Rd Bldg 3, Southgate, MI 48195-3099 | 2012-01-12 |
| 1306012570 | Lisa Michon Reid | Social Worker | 15601 Northline, Southgate, MI 48195 | 2008-05-07 |
| 1669643409 | Amanda Byrnes | Social Worker | 15601 Northline Rd, Southgate, MI 48195-2334 | 2008-03-20 |
| Find all providers in SOUTHGATE | ||||
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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.