BLOSSOM HEALTH SERVICES LLC (NPI# 1427555895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427555895 |
| Entity Type | Organization |
| Organization Name | BLOSSOM HEALTH SERVICES LLC |
| Practice Address |
2156 Glencoe Hills Dr Apt 12 Ann Arbor MI 48108 |
| Mailing Address |
Po Box 10 Mason MI 48854-0010 |
| Practice Telephone | 7343471690 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-07-05 |
| Authorized Official Name | MARY BETH HOUPT (CREDENTIALING) |
| Authorized Official Telephone | 5176769788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801065043 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891332466 | Blossom Health Services LLC | Home Health | 11312 Ludgate Place, Chester, VA 23831 | 2019-12-03 |
| Street Address |
2156 GLENCOE HILLS DR APT 12 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| 1811430895 | Mackenzie Takessian | Social Worker | 2140 E Ellsworth, Ann Arbor, MI 48108 | 2016-11-23 |
| Find all providers in zip 48108 | ||||
| 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 |
|---|---|---|---|---|
| 1568062107 | Noor Mateen | Social Worker | 2564 Carpenter Rd, Ann Arbor, MI 48108-1175 | 2020-10-30 |
| 1295342970 | Yan Luo | Social Worker | 536 S Forest Ave Apt 1614, Ann Arbor, MI 48104-2553 | 2020-09-28 |
| 1245845098 | Matthew Cremin | Social Worker | 5340 Plymouth Rd Ste 104, Ann Arbor, MI 48105-9557 | 2020-09-09 |
| 1528678943 | Joyce Y Lee | Social Worker | 2245 S State St Ste 1200, Ann Arbor, MI 48104-6279 | 2020-08-01 |
| 1649888900 | Ian Reed Twiss | Social Worker | 2015 Geddes Ave, Ann Arbor, MI 48104-1715 | 2020-07-22 |
| 1114545308 | Sarah Weissman | Social Worker | 1817 W Stadium Blvd Ste C, Ann Arbor, MI 48103-4577 | 2020-07-14 |
| 1710504618 | Cjcasselman Lmsw LLC | Social Worker | 2311 Shelby Ave Ste 105, Ann Arbor, MI 48103-3849 | 2020-06-26 |
| 1295351807 | Transitions Linda S Bender Lmsw Acsw | Social Worker | 4488 Jackson Rd Ste 4, Ann Arbor, MI 48103-1812 | 2020-06-19 |
| 1326661109 | Naomi Rawitz | Social Worker | 120 E Liberty St Ste 370, Ann Arbor, MI 48104-2130 | 2020-05-27 |
| 1164042917 | Sue Pellerito LLC | Social Worker | 2311 Shelby Ave Ste 105a, Ann Arbor, MI 48103-3849 | 2020-04-22 |
| Find all providers in ANN ARBOR | ||||
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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.