MRS. SUZANNE M PORTILLO (NPI# 1356615009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356615009 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE M PORTILLO |
| Credential | LMSW |
| Practice Address |
901 Eastern Grand Rapids MI 49501 |
| Practice Telephone | 6164013000 |
| Mailing Telephone | 6164013000 |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801086762 | MI | Behavioral Health & Social Service Providers |
| Street Address |
901 EASTERN |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972806933 | Megan Lee | Social Worker | 901 Eastern, Grand Rapids, MI 49503 | 2010-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205229853 | Hope Network | Point of Service | 755 36th St. Se, Grand Rapids, MI 49501 | 2015-03-06 |
| 1023388964 | Jamie Lynn Palma | Case Manager/Care Coordinator | 781 36th St Grand Rapids, Mi 49501-0141, Grand Rapids, MI 49501-0141 | 2012-01-10 |
| 1831477587 | Zachary William Gray | Case Manager/Care Coordinator | 781 36th St., Grand Rapids, MI 49501-0141 | 2011-07-29 |
| 1023318557 | Dawn Marie Macdonald | Case Manager/Care Coordinator | 781 36th Street, Grand Rapids, MI 49501-0141 | 2010-11-01 |
| 1952625626 | Karen Jean Bandstra | Registered Nurse | 765 36th Street, Grand Rapids, MI 49501-0141 | 2010-03-24 |
| 1730415050 | Dawn Kay Carpenter | Social Worker | 781 - 36th St., Se, Hope Network Dcs, Grand Rapids, MI 49501-0141 | 2009-10-21 |
| 1184778409 | Annelise Erdman | Case Manager/Care Coordinator | 781 36th St Se, Grand Rapids, MI 49501-0141 | 2007-01-23 |
| 1821446535 | Sheryl Nelson | Social Worker | 300 68th St Se, Grand Rapids, MI 49501-0165 | 2016-06-03 |
| 1508048331 | Patrick Mugi Kamau | Counselor | 901 Eastern Ave. Ne, Grand Rapids, MI 49501-0294 | 2007-12-04 |
| 1477841617 | Mark Allen Barnhouse | Psychologist | 901 Eastern Ave Ne, Bethany Christian Services, Grand Rapids, MI 49501-0294 | 2011-07-20 |
| Find all providers in zip 49501 | ||||
| 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 |
|---|---|---|---|---|
| 1225639560 | Ananya Avinash | Social Worker | 235 Olivia Ct Nw, Grand Rapids, MI 49504-5897 | 2020-11-03 |
| 1982203485 | Becoming You Therapy Pllc | Social Worker | 2346 Mission Hills Dr Se, Grand Rapids, MI 49546-7804 | 2020-10-26 |
| 1235738774 | Huffman Counseling Services LLC | Social Worker | 1950 Waldorf St Nw Ste E, Grand Rapids, MI 49544-1488 | 2020-10-24 |
| 1730795816 | Elizabeth Anne Maher | Social Worker | 1519 Pontiac Rd Se, Grand Rapids, MI 49506-3367 | 2020-09-23 |
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1205448834 | Rose Training & Education, LLC | Social Worker | 156 Hillview Ave Ne, Grand Rapids, MI 49503-3824 | 2020-08-17 |
| 1497366967 | Krista L. Leinberger, LLC | Social Worker | 548 Fairview Ave Ne Apt 1, Grand Rapids, MI 49503-2581 | 2020-08-10 |
| 1609493782 | Lauren Anne Tarkiewicz | Social Worker | 700 Alger St Se, Grand Rapids, MI 49507-3531 | 2020-07-06 |
| 1841814779 | Molly Ballantyne | Social Worker | 1166 Hall St Se, Grand Rapids, MI 49507-1971 | 2020-06-06 |
| 1942839238 | Patricia Hickey Msw | Social Worker | 2020 Raybrook St Se Ste 301, Grand Rapids, MI 49546-7717 | 2020-04-07 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49501 |
Please comment or provide details below to improve the information on MRS. SUZANNE M PORTILLO.
| 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.