MS. BRENDA A BOUDREAUX (NPI# 1285698159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285698159 |
| Entity Type | Individual |
| Full Name | MS. BRENDA A BOUDREAUX |
| Credential | MSW LMSW |
| Practice Address |
33101 Annapolis St Suite B Wayne MI 48184-2405 |
| Mailing Address |
9102 Cheyenne Detroit MI 48228 |
| Practice Telephone | 7347210200 |
| Practice Fax Number | 7347211766 |
| Mailing Telephone | 3134163133 |
| Mailing Fax Number | 3134163133 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801079489 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609290170 | Brenda Boudreaux | Contractor | 1304 East St Ste 113, Redding, CA 96001-0855 | 2014-02-04 |
| Street Address |
33101 ANNAPOLIS ST SUITE B |
| City | WAYNE |
| State | MI |
| Zip Code | 48184-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952370579 | Reginald E Marsack | Psychologist | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-03-16 |
| 1003386996 | Nergis Jassim | Occupational Therapist | 33101 Annapolis St, Wayne, MI 48184-2405 | 2018-12-04 |
| 1164603817 | Padma Surapaneni | Psychiatry & Neurology | 33101 Annapolis St, Wayne, MI 48184-2405 | 2007-11-23 |
| 1730380262 | Erma Owens | Registered Nurse | 33101 Annapolis St, Wayne, MI 48184-2405 | 2007-05-31 |
| 1548309065 | Donna La Jean Cobb | Registered Nurse | 33101 Annapolis St, Suite B, Wayne, MI 48184-2405 | 2007-02-05 |
| 1720167166 | Janice Marie Kornacki | Psychologist | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-11-05 |
| 1790865772 | Ernest Bart | Counselor | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-10-16 |
| 1396833901 | Nancy L Mcclure | Social Worker | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-10-10 |
| 1104913177 | Thomas Edward Haefner | Psychologist | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-10-09 |
| 1790879021 | Brenda Renee Scoggins | Social Worker | 33101 Annapolis St, Wayne, MI 48184-2405 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570932 | Wayne Rx | Pharmacy | 4603 Wayne Rd, Wayne, MI 48184 | 2019-10-25 |
| 1669902433 | Randi Oswald | Massage Therapist | 34336 Richard St., Wayne, MI 48184 | 2017-06-14 |
| 1306393822 | Amanda Anastasoff | Technician, Other | 35640 West Michigan Avenue, Wayne, MI 48184 | 2016-09-01 |
| 1871941302 | Christopher Schrimscher | Technician, Other | 34560 Michigan Avenue W, Wayne, MI 48184 | 2016-05-25 |
| 1659757334 | Anna Bondy | Technician, Other | 35640 Michigan Ave. West, Wayne, MI 48184 | 2015-08-05 |
| 1992184550 | Carrie Walrath | Community Health Worker | 4234 Niagara, Wayne, MI 48184 | 2015-05-28 |
| 1588043459 | Suzanne Cutlip | Case Manager/Care Coordinator | 35425 Michigan Ave. W. Suite 1, Wayne, MI 48184 | 2015-05-26 |
| 1285021295 | Alicia Allen | Technician, Other | 35640 Michigan Avenue West, Wayne, MI 48184 | 2015-04-17 |
| 1164843850 | Julia Krivoy | Nurse Anesthetist, Certified Registered | 33155 Annapolis St., Beaumont/oakwood Hospital - Wayne, Wayne, MI 48184 | 2013-12-23 |
| 1992130553 | One Stop Pharmacy LLC | Pharmacy | 33950 Van Born Rd, Wayne, MI 48184 | 2013-09-13 |
| Find all providers in zip 48184 | ||||
| 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 |
|---|---|---|---|---|
| 1053973487 | Falon Toi Miles | Social Worker | 998 Old Eagle School Rd, Wayne, PA 19087-1805 | 2019-07-06 |
| 1356826739 | Ani Silvani | Social Worker | 18 White Oak Ln, Wayne, NJ 07470-3067 | 2018-10-01 |
| 1033586474 | Lela Y Terrell-peoples | Social Worker | 35425 W Michigan Ave Ste 1, Wayne, MI 48184-1600 | 2015-09-01 |
| 1649676933 | Ann Bacon Spooner | Social Worker | 851 Box Hill Ln, Wayne, PA 19087-2704 | 2014-11-13 |
| 1447524848 | Linda A Haywood | Social Worker | 35000 Van Born Rd, Wayne, MI 48184-2458 | 2012-03-02 |
| 1982630950 | Janice Marie Riley | Social Worker | 34924 Chestnut St, Wayne, MI 48184-1206 | 2006-06-23 |
| 1689634560 | Beth Ellen Sharlow | Social Worker | 33101 Annapolis, Wayne, MI 48184 | 2006-03-24 |
| 1427676857 | Chere Kim Devos-hoover | Social Worker | 35425 W Michigan Ave, Wayne, MI 48184-9800 | 2020-07-13 |
| 1851925994 | Tandy Gayle Bidinger | Social Worker | 35425 W Michigan Ave, Wayne, MI 48184-9800 | 2020-02-27 |
| 1013578657 | Tasha Mahone | Social Worker | 35425 W Michigan Ave Ste 1, Wayne, MI 48184-1600 | 2019-06-25 |
| Find all providers in WAYNE | ||||
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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.