SUSAN K. STACKPOOLE (NPI# 1396897450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396897450 |
| Entity Type | Individual |
| Full Name | SUSAN K. STACKPOOLE |
| Credential | LMSW, CSW, BCD |
| Practice Address |
1460 Walton Blvd Suite 202 Rochester Hills MI 48309-1768 |
| Practice Telephone | 2486019990 |
| Practice Fax Number | 2486019991 |
| Mailing Telephone | 2486019990 |
| Mailing Fax Number | 2486019991 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801078184 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1460 WALTON BLVD SUITE 202 |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48309-1768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518866 | Michael Stewart Salter | Podiatrist | 1460 Walton Blvd, Ste 60, Rochester Hills, MI 48309-1768 | 2005-06-17 |
| 1336794908 | Johnson and Varsanik, Pllc | Clinic/Center | 1460 Walton Blvd, Suite 205, Rochester Hills, MI 48309-4843 | 2019-08-09 |
| 1659829794 | Kelsey Marie Haglund | Physician Assistant | 1460 Walton Blvd, Suite 200, Rochester Hills, MI 48309-1768 | 2016-09-19 |
| 1770947566 | Lighthouse Solutions, LLC | Marriage & Family Therapist | 1460 Walton Blvd, Suite 224, Rochester Hills, MI 48309-1768 | 2016-04-08 |
| 1467831503 | Agape Family Counseling, Pllc | Community/Behavioral Health | 1460 Walton Blvd, Suite 218, Rochester Hills, MI 48309-1768 | 2015-05-21 |
| 1235532623 | Bennett H. Lee | Physician Assistant | 1460 Walton Blvd, Rochester Hills, MI 48309-1768 | 2014-09-30 |
| 1003240755 | Danielle R Zipay | Counselor | 1460 Walton Blvd, Suite 218, Rochester Hills, MI 48309-1768 | 2013-08-29 |
| 1811269376 | Linda Marie Oxford | Counselor | 1460 Walton Blvd, Suite 216, Rochester Hills, MI 48309-1768 | 2012-01-31 |
| 1851672166 | Juan Rhoades | Nurse Practitioner | 1460 Walton Blvd, Ste 200, Rochester Hills, MI 48309-1768 | 2011-08-31 |
| 1528352978 | Pharmacare Pharmacy LLC | Pharmacy | 1460 Walton Blvd, Suite # 90, Rochester Hills, MI 48309-1768 | 2011-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255874541 | Tracy Rutherford | Licensed Practical Nurse | 1613 Star Beit Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1679016901 | Christian Ojimadu | Registered Nurse | 1613 Star-batt Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1841749173 | Julian Alexander Prosser | Social Worker | 1800 Star Batt Drive, Rochester Hills, MI 48309 | 2016-09-28 |
| 1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
| 1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
| 1396021242 | Karen Renee Farrar | Social Worker | 1344 Chestnut Cir, Rochester Hills, MI 48309 | 2011-10-24 |
| 1083922389 | Michigan V & P Management, LLC | Specialist | 1886 W. Auburn #300, Rochester Hills, MI 48309 | 2010-09-21 |
| 1689894032 | Steven L. Lipton Dds, PC | Dentist | 111 Rochdale Dr, Rochester Hills, MI 48309 | 2007-04-26 |
| 1083735773 | Jennifer R Haener | Family Medicine | 2940 Crooks Road, Rochester Hills, MI 48309 | 2007-04-02 |
| 1215079645 | Eva Colleen Frances Mondor | Counselor | 155 Rochdale Dr. S, Suite B, Rochester Hills, MI 48309 | 2007-02-13 |
| Find all providers in zip 48309 | ||||
| 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 |
|---|---|---|---|---|
| 1083246912 | Proactive Intention LLC | Social Worker | 54 Rose Brier Dr, Rochester Hills, MI 48309-1120 | 2020-02-09 |
| 1164988077 | Seek 1 LLC | Social Worker | 1460 Walton Blvd Ste 203a, Rochester Hills, MI 48309-1779 | 2019-02-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1841749173 | Julian Alexander Prosser | Social Worker | 1800 Star Batt Drive, Rochester Hills, MI 48309 | 2016-09-28 |
| 1851749873 | Innovative Hope Therapy | Social Worker | 3366 Hessel Ave, Rochester Hills, MI 48307-4842 | 2016-05-31 |
| 1235534322 | Dr. Kristen Husted | Social Worker | 208 Parsons Ln, Rochester Hills, MI 48307-2846 | 2014-10-31 |
| 1952701849 | Yuliya Gaydayenko | Social Worker | 167 Old Perch Rd, Rochester Hills, MI 48309-2135 | 2014-08-27 |
| 1346678950 | Melissa Aldrich | Social Worker | 1055 South Blvd E Ste 210, Rochester Hills, MI 48307-5467 | 2013-10-16 |
| 1508292038 | Amanda Catherine Barbosa | Social Worker | 130 Hampton Cir Ste 100, Rochester Hills, MI 48307-4113 | 2013-09-16 |
| 1649619560 | Helena Hill | Social Worker | 441 South Livernois Rd, Suite 205, Rochester Hills, MI 48307-2584 | 2013-06-25 |
| Find all providers in ROCHESTER HILLS | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48309 |
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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.