MR. JESSE BACON (NPI# 1548605173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548605173 |
| Entity Type | Individual |
| Full Name | MR. JESSE BACON |
| Credential | MSW |
| Practice Address |
18303 E 10 Mile Rd Ste 200 Roseville MI 48066-4989 |
| Practice Telephone | 5867450116 |
| Mailing Telephone | 5867450116 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2018-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801095708 | MI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
18303 E 10 MILE RD STE 200 |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376809756 | Alexandra Elizabeth Beltowski | Social Worker | 18303 E 10 Mile Rd Ste 200, Roseville, MI 48066-4989 | 2012-04-10 |
| 1093277253 | Nicole Rachel Friedlaender | Psychologist | 18303 E 10 Mile Rd Ste 200, Roseville, MI 48066-4989 | 2019-04-04 |
| 1538658083 | Brook Bernreuter | Psychologist | 18303 E 10 Mile Rd Ste 200, Roseville, MI 48066-4989 | 2018-05-09 |
| 1255708772 | Heather Milewski | Social Worker | 18303 E 10 Mile Rd Ste 200, Roseville, MI 48066-4989 | 2015-09-01 |
| 1669895256 | Thea Simmons | Psychologist | 18303 E 10 Mile Rd Ste 200, Roseville, MI 48066 | 2014-02-02 |
| 1750628053 | Lauren Harper | Social Worker | 18303 E 10 Mile Rd Ste 200, Roseville, MI 48066-4989 | 2013-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| 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 |
|---|---|---|---|---|
| 1841804432 | Taylor Elise Cravey | Social Worker | 2277 Highway 36 W Ste 160, Roseville, MN 55113-3830 | 2020-09-02 |
| 1013550581 | Keby Reese | Social Worker | 8475 Auburn Boulevard, Roseville, CA 95610-3221 | 2019-10-28 |
| 1669025094 | Cassandra Crittenden | Social Worker | 17855 Common Rd, Roseville, MI 48066-4659 | 2019-07-24 |
| 1285145458 | Staci Lynne Maclean | Social Worker | 735 Sunrise Ave Ste 155, Roseville, CA 95661-4532 | 2017-10-16 |
| 1972916401 | Dawn Patricia Mathis | Social Worker | 28351 Gratiot Ave, Roseville, MI 48066-4252 | 2014-06-02 |
| 1376809756 | Alexandra Elizabeth Beltowski | Social Worker | 18303 E 10 Mile Rd Ste 200, Roseville, MI 48066-4989 | 2012-04-10 |
| 1811220262 | Kristen Marie Paulsen Moore | Social Worker | 10820 Justice Center Dr, Roseville, CA 95678-6222 | 2009-09-16 |
| 1073763702 | Danielle Ensley | Social Worker | 1430 Blue Oaks Blvd Ste 120, Roseville, CA 95747-5156 | 2008-09-30 |
| 1811186190 | Krista Lynn Palomino Schmidt | Social Worker | 1600 Eureka Rd. Bldg. C, Door 2mc16, Roseville, CA 95661 | 2007-10-23 |
| 1144418898 | Yolanda King | Social Worker | 28351 Gratiot Ave Ste 3, Roseville, MI 48066-4252 | 2007-10-09 |
| Find all providers in ROSEVILLE | ||||
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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.