JEAN CARLSON (NPI# 1306210745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306210745 |
| Entity Type | Individual |
| Full Name | JEAN CARLSON |
| Practice Address |
713 N Center Dr Nw Walker MI 49544-8215 |
| Mailing Address |
5410 Ada Dr Se Ada MI 49301-7822 |
| Practice Telephone | 6166472802 |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992940845 | Jean Marie Carlson | Physical Therapist | 7511 Foxwood Dr, Schererville, IN 46375-3359 | 2008-12-06 |
| 1497815468 | Jean Judy Carlson | Dentist | 609 Locust St, Cambridge, MD 21613-1705 | 2006-12-11 |
| 1467499681 | Jean K Carlson | Nurse Practitioner | 9015 Strada Stell Court, Suite 201, Naples, FL 34109 | 2006-05-31 |
| 1689849838 | Jean Marie Carlson | Registered Nurse | 106 4th Ave N, Fergus Falls, MN 56537-1054 | 2008-04-29 |
| 1467527051 | Jean L Carlson | Dietitian, Registered | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-11-21 |
| Street Address |
713 N CENTER DR NW |
| City | WALKER |
| State | MI |
| Zip Code | 49544-8215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887827 | Joanna Dell'olio | Case Manager/Care Coordinator | 713 N Center Dr Nw, Walker, MI 49544-8215 | 2020-10-02 |
| 1619453917 | Carly Wormmeester | Case Manager/Care Coordinator | 713 N Center Dr Nw, Walker, MI 49544-8215 | 2018-07-19 |
| 1730603861 | Ashley Elizabeth Dykema | Technician | 713 N Center Dr Nw, Walker, MI 49544-8215 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| 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 |
|---|---|---|---|---|
| 1265058259 | Janna Wiele | Social Worker | 301 4th St S, Walker, MN 56484 | 2020-06-25 |
| 1306288477 | Rachel Marie Mcclure | Social Worker | 528 Hampton Ln Nw, Apt 2a, Walker, MI 49534-7808 | 2013-07-18 |
| 1477641900 | Denise Cecelia Griggs | Social Worker | 4175 3 Mile Rd Nw, Walker, MI 49534-1133 | 2006-10-10 |
| 1144889684 | Christine Mullan | Social Worker | 4175 3 Mile Rd Nw, Walker, MI 49534-1133 | 2019-06-09 |
| 1114425584 | Sarah Kathryn Deyoung | Social Worker | 2118 3 Mile Rd Nw, Walker, MI 49544-1425 | 2018-01-31 |
| 1104366996 | Aybianeth Carolina Smart | Social Worker | 721 N Center Dr Nw, Walker, MI 49544-8215 | 2017-02-28 |
| 1275821886 | Bethany Anne Murray | Social Worker | 4175 3 Mile Rd Nw, Walker, MI 49534-1133 | 2011-07-17 |
| 1649436031 | Jeffrey Phillip Hollander | Social Worker | 4175 3 Mile Rd Nw, Walker, MI 49534-1133 | 2008-08-05 |
| 1255514246 | Stacy Lynn Brown | Social Worker | 4175 3 Mile Rd Nw, Walker, MI 49534-1133 | 2007-12-12 |
| 1043394703 | Northwest Counseling Associates, Pllc | Social Worker | 4175 3 Mile Rd Nw, Walker, MI 49534-1133 | 2006-10-25 |
| Find all providers in WALKER | ||||
Please comment or provide details below to improve the information on JEAN CARLSON.
| 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.