THERESA WAURZYNIAK KELLY (NPI# 1720527146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720527146 |
| Entity Type | Individual |
| Full Name | THERESA WAURZYNIAK KELLY |
| Credential | LMSW |
| Practice Address |
10785 S Saginaw St Bldg. E, Ste. A Grand Blanc MI 48439-7003 |
| Mailing Address |
12141 Townline Rd Grand Blanc MI 48439-1659 |
| Practice Telephone | 8106950055 |
| Practice Fax Number | 8106956813 |
| Mailing Telephone | 8105139017 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801018578 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548639891 | Theresa Ann Kelly | Counselor | 2245 W Estes Ave, Chicago, IL 60645-3403 | 2015-09-16 |
| 1689021685 | Theresa Eileen Kelly | Pharmacist | 507 E Woodlawn Ave, La Grange Park, IL 60526-1983 | 2016-05-19 |
| 1679844104 | Theresa Kelly | Physician Assistant | 43200 Dequindre Rd, Ste104, Sterling Hts, MI 48314-1707 | 2012-01-13 |
| 1548433998 | Theresa J. Kelly | Occupational Therapist | 5101 Medical Dr, San Antonio, TX 78229-4801 | 2008-04-08 |
| 1003087776 | Theresa A Kelly | Nurse Anesthetist, Certified Registered | 601 Park St, Honesdale, PA 18431-1445 | 2008-03-20 |
| 1225153059 | Theresa Ann Kelly | Pharmacist | 453 E. 111th St., Kansas City, MO 64131 | 2007-03-20 |
| 1477663763 | Theresa Ann Kelly | Psychologist | 2401 W Main St, Marion, IL 62959-1188 | 2006-08-30 |
| 1073572483 | Theresa Louise Kelly | Physician Assistant | 4692 Brownsboro Road, Winston-salem, NC 27106-3410 | 2006-03-23 |
| Street Address |
10785 S SAGINAW ST BLDG. E, STE. A |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-7003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821106675 | William Leslie Harshman | Counselor | 10785 S Saginaw St, Building E, Grand Blanc, MI 48439-7003 | 2006-08-29 |
| 1972094936 | Heather Renee Murphy | Social Worker | 10785 S Saginaw St, Grand Blanc, MI 48439-7003 | 2018-05-25 |
| 1891095485 | Susanne Myhrs | Social Worker | 10785 S Saginaw St, Suite A, Building E, Grand Blanc, MI 48439-7003 | 2010-10-28 |
| 1760679427 | Oakland Psychological Clinic, P.C. | Counselor | 10785 S Saginaw St, Suite A Building E, Grand Blanc, MI 48439 | 2007-09-26 |
| 1285770644 | Joseph A. Policarpio | Social Worker | 10785 S Saginaw St, Bldg. E, Suite A, Grand Blanc, MI 48439-7003 | 2007-01-30 |
| 1972686517 | Sandra Ann Przybysz | Counselor | 10785 S Saginaw St, Suite A, Bldg. E, Grand Blanc, MI 48439-7003 | 2006-10-24 |
| 1215010186 | Heidi Lewicki | Social Worker | 10785 S Saginaw St, Suite A, Bldg. E, Grand Blanc, MI 48439-7003 | 2006-10-23 |
| 1215027974 | Noel A. Dryden-minger | Psychologist | 10785 S Saginaw St, Bldg. E, Suite A, Grand Blanc, MI 48439-7003 | 2006-10-13 |
| 1376639500 | Kyle Powell | Counselor | 10785 S Saginaw St, Suite A, Bldg. E, Grand Blanc, MI 48439-7003 | 2006-10-05 |
| 1811082878 | Joel Fredric Kortge | Psychologist | 10785 S Saginaw St, Ste. A., Bldg. E, Grand Blanc, MI 48439-7003 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| 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 |
|---|---|---|---|---|
| 1366080004 | Peace of Mind Therapy Services Pllc | Social Worker | 8308 Office Park Dr Ste 2, Grand Blanc, MI 48439-2075 | 2019-12-12 |
| 1649822776 | Laura Kay Gualdoni | Social Worker | 9460 S Saginaw Rd Ste D, Grand Blanc, MI 48439-8207 | 2019-07-09 |
| 1659808459 | Josephine Lenning | Social Worker | 23108 Thornridge Dr, Grand Blanc, MI 48439-9271 | 2017-05-11 |
| 1598174773 | Jayne Elyse West | Social Worker | 4126 Oak St, Grand Blanc, MI 48439-3447 | 2014-08-12 |
| 1124446950 | Kathleen Mary Sanders | Social Worker | 1299 Heatherwood Dr Apt 1a, Grand Blanc, MI 48439-7543 | 2014-03-29 |
| 1497093348 | Gina Nicole Shuster | Social Worker | 10785 S Saginaw St Ste A, Grand Blanc, MI 48439-7003 | 2013-01-28 |
| 1639322647 | Gregory Alan Matzelle | Social Worker | 10785 S. Saginaw St., Suite A, Building E, Grand Blanc, MI 48439 | 2008-11-04 |
| 1083829303 | Lynn Lanee Stark | Social Worker | 9254 Vassar Rd, Grand Blanc, MI 48439-9535 | 2007-05-11 |
| 1821147638 | Marjorie A Soper P.C. | Social Worker | 12751 S Saginaw St, Ste 700, Grand Blanc, MI 48439-2751 | 2007-01-10 |
| 1871699108 | Candace Ray Crawley | Social Worker | 12095 Juniper Way, Apt. 635, Grand Blanc, MI 48439 | 2006-09-15 |
| Find all providers in GRAND BLANC | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
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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.