LORI WILTENBURG (NPI# 1407982010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407982010 |
| Entity Type | Individual |
| Full Name | LORI WILTENBURG |
| Credential | SW |
| Practice Address |
2700 Baker St Fl 3 Muskegon MI 49444-2157 |
| Practice Telephone | 2317336607 |
| Practice Fax Number | 2317370534 |
| Mailing Telephone | 2317336607 |
| Mailing Fax Number | 2317370534 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801071407 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1407982010 | 05 | |
| MI | 772935256 | 05 |
| Street Address |
2700 BAKER ST FL 3 |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-2157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251442 | Margaret E Rosina Wolter | Nurse Practitioner | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2005-08-02 |
| 1912506635 | Hackley Community Care Center Inc | Clinic/Center | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2020-10-23 |
| 1134734569 | James Robert Mason | Counselor | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2020-09-11 |
| 1194369033 | Jessica Morgan Ladd | Social Worker | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2019-11-04 |
| 1558834788 | James J Tuljus | Physician Assistant | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2019-01-10 |
| 1629505714 | Hackley Community Care Center Inc | Family Medicine | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2017-05-19 |
| 1649707092 | Krista Mashak | Social Worker | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2017-05-16 |
| 1780123968 | Katie Polaski | Physician Assistant | 2700 Baker St Fl 3, Muskegon, MI 49444 | 2017-02-21 |
| 1619414984 | Ryan Thomas Busch | Physician Assistant | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2017-01-25 |
| 1538511621 | Sara Strait | Nurse Practitioner | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2016-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| 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 |
|---|---|---|---|---|
| 1104442219 | Shaundrica Roberts | Social Worker | 860 Marquette Ave Apt 28, Muskegon, MI 49442-1397 | 2020-06-24 |
| 1104474196 | Mireya Briceno | Social Worker | 1553 Haverhill Rd, Muskegon, MI 49441-3812 | 2019-09-03 |
| 1649739178 | Shijuan Kelly | Social Worker | 1476 W Sherman Blvd, Muskegon, MI 49441-3541 | 2019-03-14 |
| 1528524410 | Tyler Companion | Social Worker | 710 Mclaughlin, Muskegon, MI 49442 | 2019-02-15 |
| 1992201461 | Shontrice Yvette Holbrook | Social Worker | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2018-04-03 |
| 1154837631 | Amber Carlston | Social Worker | 1294 W Norton Ave Apt A, Muskegon, MI 49441-4178 | 2017-12-20 |
| 1114458668 | Alicia Michelle Kaja | Social Worker | 1760 Wells Ave, Muskegon, MI 49442-2460 | 2017-03-27 |
| 1124574264 | Hannah Mathiot | Social Worker | 97 E Apple Ave, Muskegon, MI 49442-3675 | 2016-08-29 |
| 1255886719 | Amy Lalone | Social Worker | 2098 Marva Ave, Muskegon, MI 49444-4515 | 2016-08-24 |
| 1487038287 | Mark Charles Kaufman | Social Worker | 1611 Oak Ave., Muskegon, MI 49442 | 2015-07-13 |
| Find all providers in MUSKEGON | ||||
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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.