MS. CARRIE PEBLEY (NPI# 1417291436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417291436 |
| Entity Type | Individual |
| Full Name | MS. CARRIE PEBLEY |
| Credential | LMSW |
| Practice Address |
781 36th St Se Grand Rapids MI 49548-2319 |
| Mailing Address |
Po Box 141 Grand Rapids MI 49501-0141 |
| Practice Telephone | 6162485122 |
| Practice Fax Number | 6162432302 |
| Mailing Telephone | 6162485122 |
| Mailing Fax Number | 6162432302 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801086032 | MI | Behavioral Health & Social Service Providers |
| Street Address |
781 36TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49548-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255883252 | Kaleigh Nicole Kleyn | Case Manager/Care Coordinator | 781 36th St Se, Grand Rapids, MI 49548-2319 | 2016-10-26 |
| 1154774701 | Hannah Zwart | Case Manager/Care Coordinator | 781 36th St Se, Grand Rapids, MI 49548-2319 | 2016-07-19 |
| 1962884387 | Leezanne Zeng | Family Medicine | 781 36th St Se, Grand Rapids, MI 49548-2319 | 2015-06-22 |
| 1700287448 | Trinity Health - Michigan | Clinic/Center | 781 36th St Se, Grand Rapids, MI 49548-2319 | 2014-09-12 |
| 1447663844 | Garrett Caldwell | Family Medicine | 781 36th St Se, Grand Rapids, MI 49548-2319 | 2014-06-04 |
| 1326477209 | Justine Sawyer | Case Manager/Care Coordinator | 781 36th St Se, Grand Rapids, MI 49548-2319 | 2013-11-01 |
| 1518304716 | Katherine Mae Mokma | Case Manager/Care Coordinator | 781 36th St Se, Grand Rapids, MI 49548-2319 | 2013-05-29 |
| 1164765681 | Johnathon Mitt Wilson | Case Manager/Care Coordinator | 781 36th St Se, Grand Rapids, MI 49548-2319 | 2013-04-03 |
| 1679811780 | Shari L Hasford | Case Manager/Care Coordinator | 781 36th St Se, Grand Rapids, MI 49548-2319 | 2013-01-24 |
| 1386982890 | Nikkea Kelley | Case Manager/Care Coordinator | 781 36th St Se, Grand Rapids, MI 49548-2319 | 2013-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
| 1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
| 1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
| 1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
| 1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
| Find all providers in zip 49548 | ||||
| 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 |
|---|---|---|---|---|
| 1679173595 | Laura Ann Dillivan | Social Worker | 1545 Cole Ave Ne, Grand Rapids, MI 49505-5026 | 2020-10-29 |
| 1912510033 | Alexandra Burke Hagerty | Social Worker | 1047 Wealthy St Se, Grand Rapids, MI 49506-1551 | 2020-08-28 |
| 1124643689 | Lavange Barth LLC | Social Worker | 400 Monroe Ave Nw Ste 400, Grand Rapids, MI 49503-1476 | 2020-06-10 |
| 1962026641 | Maya Louise Williams | Social Worker | 1101 Ball Ave Ne Bldg D, Grand Rapids, MI 49505-5904 | 2020-05-29 |
| 1720618242 | Terri Lynn Ingram | Social Worker | 1030 Sunrise Ln Nw, Grand Rapids, MI 49534-3679 | 2020-01-23 |
| 1528698206 | Kristen Zolen | Social Worker | 3310 Eagle Park Dr Ne, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1437789120 | Ann Louise Przybysz | Social Worker | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1649810276 | Dana Harrison | Social Worker | 500 Fulton St E Apt 303, Grand Rapids, MI 49503-4491 | 2020-01-12 |
| 1336781939 | Samantha L Klokkert | Social Worker | 2013 Eastcastle Dr Se Ste B, Grand Rapids, MI 49508-8873 | 2019-10-15 |
| 1952958191 | Morgan Fegel | Social Worker | 2040 E Beltline Ave Ne, Grand Rapids, MI 49525-9716 | 2019-08-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49548 |
Please comment or provide details below to improve the information on MS. CARRIE PEBLEY.
| 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.