MS. DAWN M. KEDZIOR (NPI# 1720356504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720356504 |
| Entity Type | Individual |
| Full Name | MS. DAWN M. KEDZIOR |
| Credential | MSW |
| Practice Address |
103 South Johnson Street Macomb IL 61455 |
| Practice Telephone | 3098332008 |
| Mailing Telephone | 3098332008 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149014682 | IL | Behavioral Health & Social Service Providers |
| Street Address |
103 SOUTH JOHNSON STREET |
| City | MACOMB |
| State | IL |
| Zip Code | 61455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| 1902072556 | Candice Leah Wietholder | Occupational Therapy Assistant | 8 Doctors Lane, Macomb, IL 61455 | 2008-05-05 |
| Find all providers in zip 61455 | ||||
| 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 |
|---|---|---|---|---|
| 1104427368 | Kizzy Nieves | Social Worker | 52280 Cedar Mill Dr, Macomb, MI 48042-5658 | 2020-11-04 |
| 1821696311 | Jessica Lyn Ellefritz | Social Worker | 118 Timberview Dr, Macomb, IL 61455-9319 | 2020-10-15 |
| 1437767373 | Ashlee Legeret | Social Worker | 48099 Feral Dr, Macomb, MI 48044-2919 | 2020-07-16 |
| 1942821798 | True North Counseling Advocacy and Consulting Pllc | Social Worker | 19833 Chesterbrook Dr, Macomb, MI 48044-5929 | 2020-05-04 |
| 1710513015 | Agentic Behavioral Health LLC | Social Worker | 21653 Phoenix Dr, Macomb, MI 48044-6408 | 2020-03-18 |
| 1265925788 | Karen Wetzel | Social Worker | 47567 Dennis Baert Dr, Macomb, MI 48044 | 2018-06-09 |
| 1740792639 | Anne Marie Ferrari | Social Worker | 52340 Naugatuck Dr, Macomb, MI 48042-3851 | 2017-10-31 |
| 1467972869 | Theresa Lynn Cipponeri | Social Worker | 17937 Hall Road, Macomb, MI 48044 | 2017-06-27 |
| 1295132967 | Jennifer T Lewis | Social Worker | 21874 Gailes Dr, Macomb, MI 48044-2309 | 2014-11-25 |
| 1720496185 | Kimberly Ann Isola | Social Worker | 19189 Scenic Harbor Dr, Macomb, MI 48044-2879 | 2014-07-30 |
| Find all providers in MACOMB | ||||
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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.