TYRONE HACKER (NPI# 1508400011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508400011 |
| Entity Type | Individual |
| Full Name | TYRONE HACKER |
| Credential | LLMSW |
| Practice Address |
11652 W Grand River Ave Lowell MI 49331-8465 |
| Practice Telephone | 6168972551 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801103770 | MI | Behavioral Health & Social Service Providers |
| Street Address |
11652 W GRAND RIVER AVE |
| City | LOWELL |
| State | MI |
| Zip Code | 49331-8465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063574077 | Douglas Wood Cushman | Social Worker | 11652 W Grand River Ave, Lowell, MI 49331-9203 | 2006-12-15 |
| 1871107920 | Ariel Simaz | Case Manager/Care Coordinator | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2020-09-06 |
| 1164052932 | Kira Diane Alexander | Social Worker | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2020-01-21 |
| 1902454143 | Laken Rachelle Colby | Counselor | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2019-08-30 |
| 1417437492 | Marilou Sorokin | Registered Nurse | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2018-08-18 |
| 1104341361 | Jeri Stranz | Licensed Practical Nurse | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2017-08-09 |
| 1710410154 | Hope Network Behavioral Health Services | Clinic/Center | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2017-04-04 |
| 1922463637 | Kim Fife | Licensed Practical Nurse | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2015-12-22 |
| 1629458542 | Shelby Rose Plichota | Social Worker | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2015-06-05 |
| 1760869275 | Christina Steward | Registered Nurse | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2015-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295173771 | Heather Marie Jones | Optometrist | 915 W. Green St Ste 101, Hastings, MI 49331 | 2013-06-06 |
| 1841474012 | Mark Frederic Peterson I | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3351 36th St, Grand Rapids, MI 49331 | 2007-12-24 |
| 1184732323 | Alivio Corporation | Durable Medical Equipment & Medical Supplies | 901 W. Main Street, Suite C, Lowell, MI 49331 | 2006-08-28 |
| 1740707637 | Parker Liu | Pharmacist | 11980 Fulton St E, Lowell, MI 49331 | 2017-08-23 |
| 1962482653 | Martin D Vredenburg | Dentist | 1150 N Hudson St, Lowell, MI 49331-1000 | 2006-01-19 |
| 1407140197 | Spectrum Health Primary Care Partners | Internal Medicine | 1150 N Hudson St, Lowell, MI 49331-1000 | 2011-05-31 |
| 1508034141 | Lowell Medical Specialists, PC | Internal Medicine | 1150 N Hudson St, Lowell, MI 49331-1000 | 2008-02-18 |
| 1740660315 | Patricia Sellner | Specialist/Technologist | 990 N Hudson St, Lowell, MI 49331-1006 | 2015-06-08 |
| 1508327370 | Lydia Joan Gerard | Registered Nurse | 1060 Hunt St, Lowell, MI 49331-1079 | 2019-03-26 |
| 1154847184 | Family Dentistry of Lowell | Dentist | 147 N Center St, Lowell, MI 49331-1207 | 2017-08-22 |
| Find all providers in zip 49331 | ||||
| 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 |
|---|---|---|---|---|
| 1265067482 | The Healing Tree, LLC | Social Worker | 144 Merrimack St Ste 305, Lowell, MA 01852-1710 | 2020-03-09 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1578038006 | Raynard Levon Grange II | Social Worker | 672 Suffolk St Ste 100, Lowell, MA 01854-3659 | 2018-10-11 |
| 1669956751 | Anastasia Marsden | Social Worker | 72 Pentucket Ave, Lowell, MA 01852-2912 | 2018-09-24 |
| 1912400540 | Frank Ellis Baskin | Social Worker | 19 Boylston Ln, Lowell, MA 01852-5589 | 2018-03-09 |
| 1215438593 | Lovetta Mansaray | Social Worker | 164 Lakeview Ave Apt B, Lowell, MA 01850-2327 | 2018-02-22 |
| 1902310956 | Rhonda Sue Courtright | Social Worker | 2068 Lucas Parkway, Lowell, IN 46356 | 2017-11-29 |
| 1376999755 | Amanda Germanese | Social Worker | 10127 Bennett St Se, Lowell, MI 49331-9170 | 2016-05-04 |
| 1619343969 | Hassanatu Bah | Social Worker | 635 Rogers St, 9, Lowell, MA 01852-3852 | 2015-08-20 |
| 1689067407 | Craig David Milliken | Social Worker | 319 Wilder Street, Lowell, MA 01851 | 2015-03-18 |
| Find all providers in LOWELL | ||||
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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.