EDWARD F KLODZINSKI (NPI# 1629163084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629163084 |
| Entity Type | Individual |
| Full Name | EDWARD F KLODZINSKI |
| Credential | LMHC |
| Practice Address |
3603 E. Jefferson Blvd. South Bend IN 46615 |
| Practice Telephone | 5742877323 |
| Practice Fax Number | 5742877365 |
| Mailing Telephone | 5742877323 |
| Mailing Fax Number | 5742877365 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39000141A | IN | Behavioral Health & Social Service Providers |
| Street Address |
3603 E. JEFFERSON BLVD. |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1255448452 | John D Bond Dds Inc | Dentist | 915 S Ironwood, South Bend, IN 46615 | 2006-08-24 |
| Find all providers in zip 46615 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962917385 | Andrea Eriks | Counselor | 51728 Indiana 933, South Bend, IN 46637-4663 | 2017-12-07 |
| 1497272975 | Audrey Renee Miller | Counselor | 912 E Lasalle Ave, South Bend, IN 46617-2817 | 2017-08-25 |
| 1912429127 | Valerie Galbraith | Counselor | 51728 State Road 933, South Bend, IN 46637-1706 | 2017-07-10 |
| 1851781777 | Beth Madigan | Counselor | 2955 Mckinley Ave Ste C, South Bend, IN 46615-2733 | 2015-01-30 |
| 1982901450 | Jocelyn Margaret Bailey | Counselor | 616 E. Colfax Ave., South Bend, IN 46617-2827 | 2011-02-18 |
| 1629378658 | Lindsay London | Counselor | 3516 E Jefferson Blvd, South Bend, IN 46615-3034 | 2010-10-25 |
| 1902133648 | Martha Denise May | Counselor | 1006 West Robert Bush Drive, South Bend, WA 98586 | 2009-11-16 |
| 1205086246 | Goode Counseling Services | Counselor | 4560 S Ironwood Dr, South Bend, IN 46614-9595 | 2008-09-26 |
| 1326207820 | Geraldne F Bryan | Counselor | 1443 Hampshire Dr, South Bend, IN 46614-6005 | 2008-06-09 |
| 1225223100 | Lisa K. Sexton | Counselor | 205 W Jefferson Blvd, Suite 504, South Bend, IN 46601-1828 | 2007-09-13 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46615 |
Please comment or provide details below to improve the information on EDWARD F KLODZINSKI.
| 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.