KELSEY WISOTSKY (NPI# 1700286994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700286994 |
| Entity Type | Individual |
| Full Name | KELSEY WISOTSKY |
| Practice Address |
30000 Hiveley St Inkster MI 48141-1089 |
| Mailing Address |
23424 Beverly St Saint Clair Shores MI 48082-2122 |
| Practice Telephone | 7347283400 |
| Mailing Telephone | 2489214666 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
30000 HIVELEY ST |
| City | INKSTER |
| State | MI |
| Zip Code | 48141-1089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184865776 | Starfish Family Services Inc. | Community/Behavioral Health | 30000 Hiveley St, Inkster, MI 48141-1089 | 2009-03-12 |
| 1548860646 | Rebekka Anne Hale | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-10-28 |
| 1215535117 | Alexis Nicole Tillery | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-10-13 |
| 1013522937 | Michelle L. King | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-09-09 |
| 1710591326 | Grace Anne Conrad | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-09-01 |
| 1043828841 | Emily Thiel | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-07-17 |
| 1396369898 | Katherine Pfeiffer | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-06-01 |
| 1841822293 | Desiree Angelique Drake | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-02-04 |
| 1326688805 | Alyssa Selasky | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-01-13 |
| 1699311027 | Zachary Howard | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2019-11-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776968 | Hollywood Pharmacy Group LLP | Pharmacy | 26831 Michigan Ave, Inkster, MI 48141 | 2018-10-17 |
| 1851872279 | Gillian Margaret Clifford | Nurse Practitioner | Western Wayne Family Health Centers, 2700 Hamlin Blvd., Inkster, MI 48141 | 2018-08-23 |
| 1053805119 | Audrey K Logan | Technician/Technologist | 1403 Inkster Road, Inkster, MI 48141 | 2018-06-21 |
| 1326555830 | Catherine Marie Wahl | Student in an Organized Health Care Education/Training Program | 2700 Hamlin Drive, Inkster, MI 48141 | 2018-01-05 |
| 1659899623 | Martin Unachukwu | Licensed Practical Nurse | 3650 Farnum St., Inkster, MI 48141 | 2017-08-30 |
| 1376063669 | Orlando Robinson | In Home Supportive Care | 26144 Princeton, Inkster, MI 48141 | 2017-06-27 |
| 1518402973 | Jane Stanton | Student in an Organized Health Care Education/Training Program | 30000 Hiveley, Inkster, MI 48141 | 2016-12-21 |
| 1730538646 | Dawn Rucker | Technician, Other | 29970 Oakwood St., Inkster, MI 48141 | 2016-06-10 |
| 1861840571 | Jacqueline Nicole Kisse | Social Worker | 30000 Hiveley Road, Inkster, MI 48141 | 2016-06-03 |
| 1598134652 | Missionary Daughters of The Eternal Father | Home Health | 219 Cherry Hill Trail, Apt: 202, Inkster, MI 48141 | 2015-09-18 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346610557 | Sherry Lynn Byrd | Case Manager/Care Coordinator | 27570 Avondale St, Inkster, MI 48141-1712 | 2015-09-30 |
| 1528487899 | Sharmane Pirchman | Case Manager/Care Coordinator | 4125 Lovett Ave, Inkster, MI 48141-2748 | 2014-04-15 |
| 1619308830 | Charmaine Parks | Case Manager/Care Coordinator | 3000 Hiveley, Inkster, MI 48141 | 2013-12-13 |
| 1952963969 | Marcel Guyton | Case Manager/Care Coordinator | 30000 Hiveley St, Inkster, MI 48141-1089 | 2019-07-01 |
| 1376026708 | Shatori Lakirah Pennington | Case Manager/Care Coordinator | 1403 Inkster Rd, Inkster, MI 48141-1831 | 2018-09-12 |
| 1447742721 | Megan Sharon La Porte | Case Manager/Care Coordinator | 30000 Hiveley St, Inkster, MI 48141-1089 | 2018-06-03 |
| 1184111858 | Wyman David Stewart II | Case Manager/Care Coordinator | 1403 Inkster Rd, Inkster, MI 48141-1831 | 2018-04-18 |
| 1730601964 | Lanaya Jones | Case Manager/Care Coordinator | 30000 Hiveley St, Inkster, MI 48141 | 2017-07-10 |
| 1992233530 | Andrew Johnson | Case Manager/Care Coordinator | 1403 Inkster Rd, Inkster, MI 48141-1831 | 2017-05-26 |
| 1407228877 | Brittany Bowers | Case Manager/Care Coordinator | 30000 Hiveley St, Inkster, MI 48141-1089 | 2015-10-26 |
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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.