KAITLYN GRANGOOD (NPI# 1629511316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629511316 |
| Entity Type | Individual |
| Full Name | KAITLYN GRANGOOD |
| Other Name | KAITLYN NIEMI |
| Credential | LMSW, CBIS |
| Practice Address |
415 Munson Avenue Ste 101 Traverse City MI 49686 |
| Practice Telephone | 2314866330 |
| Practice Fax Number | 2314866329 |
| Mailing Telephone | 2314866330 |
| Mailing Fax Number | 2314866329 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2019-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 6801100275 | MI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801100275 | MI | Behavioral Health & Social Service Providers |
| Street Address |
415 MUNSON AVENUE STE 101 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| 1417346966 | East Bay Psychology, PC | Psychologist | 3926 Village Circle Dr., Traverse City, MI 49686 | 2015-01-21 |
| Find all providers in zip 49686 | ||||
| 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 |
|---|---|---|---|---|
| 1154938884 | Marlowe Mclaughlin-franklin | Social Worker | 267 Waxwing Dr, Traverse City, MI 49696-8578 | 2020-09-27 |
| 1679183784 | Full Circle Wellness Pllc | Social Worker | 13300 S West Bay Shore Dr Ste A2, Traverse City, MI 49684-5571 | 2020-08-04 |
| 1497395917 | The Resiliency Therapy Center, Pllc | Social Worker | 2113 Holland Cir, Traverse City, MI 49685-7945 | 2020-01-13 |
| 1437792892 | Jay David Tompkins | Social Worker | 333 W Grandview Pkwy Ste 403, Traverse City, MI 49684-2298 | 2019-10-17 |
| 1326500935 | Abigail A Peck | Social Worker | 2692 S M 37, Traverse City, MI 49685-9187 | 2019-04-02 |
| 1821564493 | Lauren Lee Wolf | Social Worker | 870 E 8th St, Traverse City, MI 49686-2782 | 2018-10-22 |
| 1578039673 | Nathan A Taylor | Social Worker | 812 S Garfield Ave Ste D, Traverse City, MI 49686-3456 | 2018-10-17 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1114406915 | Christina Virginia Pasternak | Social Worker | 13561 S West Bay Shore Dr Ste 201, Traverse City, MI 49684-6293 | 2018-08-13 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
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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.