AZELDRI VAN DER WATH


Address: 41423 Ambercrest Dr, Sterling Heights, MI 48314-3719
Phone: 2482500253

AZELDRI VAN DER WATH (NPI# 1366043408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366043408
Entity Type Individual
Full Name AZELDRI VAN DER WATH
Credential LCSW
Practice Address 41423 Ambercrest Dr
Sterling Heights
MI 48314-3719
Practice Telephone 2482500253
Mailing Telephone 2482500253
Enumeration Date 2020-11-05
Last Update Date 2020-11-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
6801106710 MI Behavioral Health & Social Service Providers

Office Location

Street Address 41423 AMBERCREST DR
City STERLING HEIGHTS
State MI
Zip Code 48314-3719

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1326449091 Lauren Ehardt Dentist 43060 Mound Rd, Sterling Heights, MI 48314 2014-09-11
1134554819 Amy Kathryn Barnes Social Worker 5995 Nineteen Mile Rd, Sterling Heights, MI 48314 2013-09-12
1952666117 Michigan's Dental Health Professional Dentist 42370 Van Dyke Ave Suite 101, Sterling Hts, MI 48314 2012-07-12
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013531102 Danielle Lewis Social Worker 8260 Denwood Dr Apt 23, Sterling Heights, MI 48312-5963 2020-06-03
1467915496 Integrative Psychotherapy Services LLC Social Worker 44444 Mound Rd Ste 650, Sterling Heights, MI 48314-1355 2019-04-08
1740776558 L & J Counseling Social Worker 39393 Van Dyke Ave Ste 209, Sterling Heights, MI 48313-4637 2018-07-04
1043703770 Amanda Sciacchitano Social Worker 14844 Hall Rd, Sterling Heights, MI 48313-1233 2018-06-07
1215348529 Care Counseling Solutions LLC Social Worker 11945 19 Mile Rd, Sterling Heights, MI 48313 2014-05-09
1558787473 Ronald Beydoun Social Worker 38219 Mound Rd Ste 102, Sterling Heights, MI 48310-3466 2014-03-17
1134554819 Amy Kathryn Barnes Social Worker 5995 Nineteen Mile Rd, Sterling Heights, MI 48314 2013-09-12
1386985471 Justin Thorne Social Worker 37156 Robinhood Dr, Apt 111, Sterling Heights, MI 48312-2380 2013-03-14
1548513732 Claudia Youhana Social Worker 34628 Dequindre Rd Ste 2, Sterling Heights, MI 48310-5233 2012-10-25
1538412861 Linda Archibald Social Worker 14100 Heritage Rd, Sterling Heights, MI 48312-6535 2012-10-24
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Competitor

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City STERLING HEIGHTS
Zip Code 48314

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Dataset Information

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.

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