MR. THOMAS DANIEL JACHULSKI (NPI# 1508255001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508255001 |
| Entity Type | Individual |
| Full Name | MR. THOMAS DANIEL JACHULSKI |
| Credential | LMSW |
| Practice Address |
3225 N Evergreen Dr Ne Grand Rapids MI 49525 |
| Mailing Address |
300 68th St Se Grand Rapids MI 49548-6927 |
| Practice Telephone | 6163641500 |
| Mailing Telephone | 6164555000 |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2019-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 6801097000 | MI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801097000 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1959 Thornapple River Dr Se, Grand Rapids, MI 495469706 | 6165585345 |
| Street Address |
3225 N EVERGREEN DR NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972652972 | Radosveta Stoyanov | Psychiatry & Neurology | 3225 N Evergreen Dr Ne, Grand Rapids, MI 49525-9334 | 2007-01-09 |
| 1629460191 | Kelsey Wright | Social Worker | 3225 N Evergreen Dr Ne, Grand Rapids, MI 49525-9334 | 2015-02-20 |
| 1215379763 | Vanessa Paige Hogarth | Social Worker | 3225 N Evergreen Dr Ne, Grand Rapids, MI 49525-9334 | 2013-07-25 |
| 1083966287 | Gregory Andrew Weichhand Jr. | Counselor | 3225 N Evergreen Dr Ne, Ste 301, Grand Rapids, MI 49525-9334 | 2012-10-11 |
| 1568711703 | Vitaliy L Voytenko | Psychologist | 3225 N Evergreen Dr Ne, Grand Rapids, MI 49525-9334 | 2012-09-04 |
| 1265795934 | Nicole H Wyngarden | Psychologist | 3225 N Evergreen Dr Ne, Grand Rapids, MI 49525-9334 | 2012-06-19 |
| 1336410356 | Mattie A De Boe | Social Worker | 3225 N Evergreen Dr Ne, Grand Rapids, MI 49525-9334 | 2012-01-23 |
| 1467685495 | Rosemary Benthem Fiedler | Social Worker | 3225 N Evergreen Dr Ne, Grand Rapids, MI 49525-9334 | 2009-08-25 |
| 1457578130 | Carol B Rich | Social Worker | 3225 N Evergreen Dr Ne, Grand Rapids, MI 49525-9334 | 2007-04-20 |
| 1861518789 | Timothy L Todd | Psychiatry & Neurology | 3225 N Evergreen Dr Ne, Grand Rapids, MI 49525-9334 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| 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 |
|---|---|---|---|---|
| 1225639560 | Ananya Avinash | Social Worker | 235 Olivia Ct Nw, Grand Rapids, MI 49504-5897 | 2020-11-03 |
| 1982203485 | Becoming You Therapy Pllc | Social Worker | 2346 Mission Hills Dr Se, Grand Rapids, MI 49546-7804 | 2020-10-26 |
| 1235738774 | Huffman Counseling Services LLC | Social Worker | 1950 Waldorf St Nw Ste E, Grand Rapids, MI 49544-1488 | 2020-10-24 |
| 1730795816 | Elizabeth Anne Maher | Social Worker | 1519 Pontiac Rd Se, Grand Rapids, MI 49506-3367 | 2020-09-23 |
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1205448834 | Rose Training & Education, LLC | Social Worker | 156 Hillview Ave Ne, Grand Rapids, MI 49503-3824 | 2020-08-17 |
| 1497366967 | Krista L. Leinberger, LLC | Social Worker | 548 Fairview Ave Ne Apt 1, Grand Rapids, MI 49503-2581 | 2020-08-10 |
| 1609493782 | Lauren Anne Tarkiewicz | Social Worker | 700 Alger St Se, Grand Rapids, MI 49507-3531 | 2020-07-06 |
| 1841814779 | Molly Ballantyne | Social Worker | 1166 Hall St Se, Grand Rapids, MI 49507-1971 | 2020-06-06 |
| 1942839238 | Patricia Hickey Msw | Social Worker | 2020 Raybrook St Se Ste 301, Grand Rapids, MI 49546-7717 | 2020-04-07 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
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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.