BETHANY PONICHTER (NPI# 1588994107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588994107 |
| Entity Type | Individual |
| Full Name | BETHANY PONICHTER |
| Practice Address |
2350 Washtenaw Ave Ste 4 Ann Arbor MI 48104 |
| Mailing Address |
2860 Seminole Rd Ann Arbor MI 48108-1329 |
| Practice Telephone | 7346458944 |
| Mailing Telephone | 2482598540 |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801098351 | MI | Behavioral Health & Social Service Providers |
| N | 174400000X | Specialist | 16241 | OR | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 511 Sw 10th Ave, Ste 1108, Portland, OR 97205 | 5032246800 |
| Street Address |
2350 WASHTENAW AVE STE 4 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200947 | Melina Tumpkin | Counselor | 2350 Washtenaw Ave Ste 4, Ann Arbor, MI 48104-4525 | 2020-09-23 |
| 1427618651 | Jessica Davis | Counselor | 2350 Washtenaw Ave Ste 4, Ann Arbor, MI 48104-4525 | 2019-06-19 |
| 1346738770 | Identity Counseling Psychology Pllc | Social Worker | 2350 Washtenaw Ave Ste 4, Ann Arbor, MI 48104 | 2018-05-01 |
| 1760970990 | Ariana Suzanne Thelen | Social Worker | 2350 Washtenaw Ave Ste 4, Ann Arbor, MI 48104-4525 | 2018-04-24 |
| 1548702715 | Timothy Wilkins | Counselor | 2350 Washtenaw Ave Ste 4, Ann Arbor, MI 48104 | 2016-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on BETHANY PONICHTER.
| 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.