CARRISSA RONDEAU (NPI# 1649663485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649663485 |
| Entity Type | Individual |
| Full Name | CARRISSA RONDEAU |
| Other Name | CARRISSA LEE |
| Credential | BCBA, LLMSW |
| Practice Address |
1229 W Washington St Ste 5 Marquette MI 49855-3186 |
| Practice Telephone | 9064395290 |
| Practice Fax Number | 9062256706 |
| Mailing Telephone | 9064395290 |
| Mailing Fax Number | 9062256706 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801095484 | MI | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1229 W WASHINGTON ST STE 5 |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-3186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609484898 | Kendra Sundin Bloom | Assistant Behavior Analyst | 1229 W Washington St Ste 5, Marquette, MI 49855-3186 | 2020-07-14 |
| 1508416801 | Rachel Dee Tiziani | Social Worker | 1229 W Washington St Ste 5, Marquette, MI 49855-3186 | 2019-09-18 |
| 1427521863 | Chiara J Johnson | Behavioral Analyst | 1229 W Washington St Ste 5, Marquette, MI 49855-3186 | 2019-01-08 |
| 1780044404 | Functional Behavior Services, LLC | Behavioral Analyst | 1229 W Washington St Ste 5, Marquette, MI 49855-3186 | 2016-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| 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 |
|---|---|---|---|---|
| 1407467939 | Letitia Marie Cipriano | Social Worker | 2262 Cherry St, Marquette, MI 49855-1308 | 2020-08-10 |
| 1013559004 | Jessica Van Overloop | Social Worker | 1650 State Highway M28 E, Marquette, MI 49855-9524 | 2019-10-11 |
| 1295376564 | 906 Counseling LLC | Social Worker | 219 W Washington St Ste B, Marquette, MI 49855-4363 | 2019-10-08 |
| 1255985560 | Catherine Louise Greer Cole | Social Worker | 112 W Washington St Ste B, Marquette, MI 49855-4367 | 2019-07-25 |
| 1114582665 | Monica L. Nordeen, Lmsw | Social Worker | 112 W Washington St Ste G, Marquette, MI 49855-4367 | 2019-05-09 |
| 1447768056 | Samone L. Derks | Social Worker | 129 W Baraga Ave Ste F, Marquette, MI 49855-4761 | 2018-01-17 |
| 1417469032 | Patricia Karwoski | Social Worker | Peter White Public Library, 217 North Front Street, Marquette, MI 49855-5018 | 2017-11-05 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1497122394 | Cori Noordyk Therapy LLC | Social Worker | 219 W Washington St, Suite B, Marquette, MI 49855-4363 | 2015-08-26 |
| 1891123634 | Paula Jean Bur | Social Worker | 102 W Washington St Ste 226, Marquette, MI 49855-4360 | 2013-10-14 |
| Find all providers in MARQUETTE | ||||
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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.