SAMANTHA FITZGERALD (NPI# 1710457528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710457528 |
Entity Type | Individual |
Full Name | SAMANTHA FITZGERALD |
Practice Address |
376 E Apple Ave Muskegon MI 49442-3466 |
Practice Telephone | 2317241111 |
Mailing Telephone | 2317241111 |
Enumeration Date | 2018-12-05 |
Last Update Date | 2018-12-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619450459 | Samantha Marie Fitzgerald | Counselor | 15602 Se Division St, Portland, OR 97236-2002 | 2018-09-07 |
Street Address |
376 E APPLE AVE |
City | MUSKEGON |
State | MI |
Zip Code | 49442-3466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306824321 | Gerald Nicholas Schmuker | Psychiatry & Neurology | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2006-01-09 |
1275130346 | Alexandra Kloeppner | Case Manager/Care Coordinator | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-10-02 |
1376155283 | Coffey Penn | Social Worker | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-08-21 |
1093327405 | Kayla Jayne Sabo | Social Worker | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-08-18 |
1124636931 | Norman Kittleson | Counselor | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-07-17 |
1538784475 | Sarah Anne Soyars | Social Worker | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-06-16 |
1750906491 | Kimberley Davis | Case Manager/Care Coordinator | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-06-09 |
1043834187 | Heidi Marie Campbell | Community Health Worker | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-06-04 |
1013530369 | Richard Alan Versalle | Case Manager/Care Coordinator | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-05-21 |
1437772720 | Jessica Kay Jennings | Social Worker | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-05-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205472321 | Beacon of Light Counseling LLC | Social Worker | 1515 E Laketon Ave, Muskegon, MI 49442 | 2019-11-24 |
1528524410 | Tyler Companion | Social Worker | 710 Mclaughlin, Muskegon, MI 49442 | 2019-02-15 |
1427549658 | Amber Renee Davidson | Behavioral Analyst | 1175 Wesley Street, Muskegon, MI 49442 | 2018-05-23 |
1528559085 | Katherine Dale Kirby | Obstetrics & Gynecology | Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 | 2018-05-21 |
1023524303 | Aaron James Dortch | Social Worker | 571 E Appleave, Muskegon, MI 49442 | 2017-12-21 |
1043737554 | Jessica Nicole Moskalewski | Social Worker | 125 E. Catherine, Muskegon, MI 49442 | 2017-08-25 |
1427587831 | Cristina J Walcott | Social Worker | 1611 Oak Avenue, Muskegon, MI 49442 | 2017-06-08 |
1104352244 | Jessica Lee Bailey-yabani | Counselor | 35 S Sheridan Dr, Muskegon, MI 49442 | 2017-05-11 |
1538514518 | Andrew G Gregson | Internal Medicine | 1675 Leahy Street Suite 201a, Muskegon, MI 49442 | 2016-04-27 |
1487038287 | Mark Charles Kaufman | Social Worker | 1611 Oak Ave., Muskegon, MI 49442 | 2015-07-13 |
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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 |
---|---|---|---|---|
1235752163 | Rhonda L Freye | Case Manager/Care Coordinator | 2372 Denmark St, Muskegon, MI 49441-7404 | 2020-05-27 |
1104229251 | Charles Nash | Case Manager/Care Coordinator | 819 Amity Ave, Muskegon, MI 49442-2117 | 2014-10-03 |
1275130346 | Alexandra Kloeppner | Case Manager/Care Coordinator | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-10-02 |
1750906491 | Kimberley Davis | Case Manager/Care Coordinator | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-06-09 |
1013530369 | Richard Alan Versalle | Case Manager/Care Coordinator | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-05-21 |
1861035875 | Rachael Elizabeth Engelsman | Case Manager/Care Coordinator | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2019-10-22 |
1730659533 | Ashley Thomas | Case Manager/Care Coordinator | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2018-12-05 |
1457821266 | Carolyn Feuerstein | Case Manager/Care Coordinator | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2018-12-05 |
1598244063 | Amanda Jane Kosten | Case Manager/Care Coordinator | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2018-08-07 |
1649760943 | Brenda Ann Waslusky | Case Manager/Care Coordinator | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2018-05-14 |
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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.