KELLY POWERS GUTIERREZ (NPI# 1457967598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457967598 |
| Entity Type | Individual |
| Full Name | KELLY POWERS GUTIERREZ |
| Practice Address |
983 Spaulding Ave Se Ada MI 49301-3701 |
| Mailing Address |
2016 Godwin Ave Se Grand Rapids MI 49507-3126 |
| Practice Telephone | 6169651298 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801107437 | MI | Behavioral Health & Social Service Providers |
| Street Address |
983 SPAULDING AVE SE |
| City | ADA |
| State | MI |
| Zip Code | 49301-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083719090 | Daniel Rosen | Clinical Neuropsychologist | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2006-09-14 |
| 1588202113 | Cheryl Lynn Cooper | Marriage & Family Therapist | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2019-12-13 |
| 1376103036 | Coville Counseling and Assessment | Psychologist | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2019-06-15 |
| 1659891125 | Amanda I Worst | Social Worker | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2017-06-26 |
| 1003344128 | Selah Counseling LLC | Social Worker | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2017-06-02 |
| 1407392129 | Cynthia Joyce Kok | Psychologist | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2017-01-19 |
| 1720385099 | Sandra Kay Oosse | Social Worker | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2011-02-22 |
| 1285884080 | Kirk L Brink | Psychologist | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2008-09-29 |
| 1275703316 | Sally Ryan | Counselor | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2008-03-05 |
| 1215058953 | Michael Cole Ryan | Clinical Neuropsychologist | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2007-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608720 | Mary Zuidema Lmsw LLC | Social Worker | 938 Spaulding Ave Se, Ada, MI 49301 | 2019-06-18 |
| 1689115040 | Bright Life Therapies LLC | Physical Therapist | 7690 Candlewood Dr, Ada, MI 49301 | 2017-03-17 |
| 1639425747 | Gary W Watson | Social Worker | 975 Spaulding Ave Ste D., Ada, MI 49301 | 2012-07-25 |
| 1821361353 | Paul George Theodore | Obstetrics & Gynecology | 660 South Whitman Ct. Se (retired), Ada, MI 49301 | 2012-02-14 |
| 1265768097 | Mary Kathryn Bennett | Social Worker | 983 Spaulding Ave. S.e., Ada, MI 49301 | 2009-10-29 |
| 1770739997 | Sheila R. Mccormack | Psychologist | 983 Spaulding St., Se, Ada, MI 49301 | 2008-08-08 |
| 1932321593 | Allison Leigh Stevens | Psychologist | 4670 E Fulton Ave Se, Suite 101, Ada, MI 49301 | 2007-05-03 |
| 1750434239 | Sarah J Ash | Registered Nurse | 983 Spaulding Office Annex, Ada, MI 49301 | 2007-01-19 |
| 1396756326 | Christine Marie Olree | Clinical Nurse Specialist | 200 Jefferson, Saint Marys Healthcare, Grand Rapids, MI 49301 | 2006-08-11 |
| 1174548606 | Kurt E Schabes | Dentist | 7210 Headley Se, Ada, MI 49301 | 2006-07-13 |
| Find all providers in zip 49301 | ||||
| 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 |
|---|---|---|---|---|
| 1497361059 | Michele Koenes | Social Worker | 10560 Scenic Bluff Ln Se, Ada, MI 49301-8921 | 2020-09-18 |
| 1326608720 | Mary Zuidema Lmsw LLC | Social Worker | 938 Spaulding Ave Se, Ada, MI 49301 | 2019-06-18 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| 1639425747 | Gary W Watson | Social Worker | 975 Spaulding Ave Ste D., Ada, MI 49301 | 2012-07-25 |
| 1265768097 | Mary Kathryn Bennett | Social Worker | 983 Spaulding Ave. S.e., Ada, MI 49301 | 2009-10-29 |
| 1598904021 | Pat Alicia Joynt | Social Worker | 967 Spaulding Ave Se Ste E, Ada, MI 49301-3700 | 2009-02-06 |
| 1629118815 | Carol Seacord | Social Worker | 519 Ada Dr Se, Suite 103, Ada, MI 49301-9024 | 2007-02-07 |
| 1215081146 | Jennifer Jane Reintjes | Social Worker | 600 Hartfield Dr Se, Ada, MI 49301-7705 | 2007-01-22 |
| 1285748574 | Michelle Price | Social Worker | 3115 E. Arlington Blvd., Healthy Lifestyles, Ada, OK 74820 | 2006-08-17 |
| 1396732194 | Charlotte Jean Burrough | Social Worker | 16050 County Road 1565, Ada, OK 74820-7911 | 2005-10-05 |
| Find all providers in ADA | ||||
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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.