DOMINIQUE ZANDER (NPI# 1740730878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740730878 |
| Entity Type | Individual |
| Full Name | DOMINIQUE ZANDER |
| Practice Address |
19275 Northline Rd Building 7 Southgate MI 48195-2220 |
| Mailing Address |
1422 Wayburn St Grosse Pointe Park MI 48230-1068 |
| Practice Telephone | 7347857705 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
19275 NORTHLINE RD BUILDING 7 |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043316433 | Tiffany Kenya Redding | Counselor | 19275 Northline Rd, Southgate, MI 48195-2220 | 2006-09-15 |
| 1164047577 | Alexandria Forst | Student in an Organized Health Care Education/Training Program | 19275 Northline Rd, Southgate, MI 48195-2220 | 2020-06-11 |
| 1639714421 | Hannah Elizabeth Turnbull | Student in an Organized Health Care Education/Training Program | 19275 Northline Rd, Southgate, MI 48195-2220 | 2019-11-15 |
| 1396125852 | Laura Lee Gerwatowski | Counselor | 19275 Northline Rd, Southgate, MI 48195-2220 | 2015-05-31 |
| 1306247846 | Sarah Daniels | Social Worker | 19275 Northline Rd, Southgate, MI 48195-2220 | 2014-09-15 |
| 1508274010 | Sarah Duxter | Social Worker | 19275 Northline Rd, Southgate, MI 48195-2220 | 2014-07-28 |
| 1275954596 | Breanna Greer | Counselor | 19275 Northline Rd, Southgate, MI 48195-2220 | 2014-01-05 |
| 1730518267 | Shannon Mcinchak | Social Worker | 19275 Northline Rd, Southgate, MI 48195-2220 | 2013-11-05 |
| 1720227663 | Eric Anthony West | Registered Nurse | 19275 Northline Rd, Southgate, MI 48195-2220 | 2009-02-17 |
| 1134380488 | Rose M Hopkins | Psychologist | 19275 Northline Rd, Southgate, MI 48195-2220 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1891213146 | Brittany Rina Mcmahon | Social Worker | 13111 Allen Rd, Southgate, MI 48195-2216 | 2017-09-07 |
| 1538512116 | Lori Susan Stovall | Social Worker | 16750 Quarry Rd Apt C1, Southgate, MI 48195-1446 | 2016-07-19 |
| 1811385446 | Randy Sidebottom | Social Worker | 15431 Dix Toledo Rd, Southgate, MI 48195-2662 | 2015-01-06 |
| 1154729275 | Amber Leigh Marie Hickman | Social Worker | 1 Heritage Dr Ste 520, Southgate, MI 48195-3051 | 2014-12-06 |
| 1518222942 | Sarah Marie Sukumaran | Social Worker | 18635 Bowie St., The Guidance Center, Southgate, MI 48195-5121 | 2012-07-11 |
| 1326313347 | Cherish Laverne Thomas | Social Worker | 13360 Greenview Dr, Apt 202, Southgate, MI 48195-3472 | 2012-03-09 |
| 1841560463 | Krystal Faye Stump | Social Worker | 13099 Allen Rd Bldg 3, Southgate, MI 48195-3099 | 2012-01-12 |
| 1306012570 | Lisa Michon Reid | Social Worker | 15601 Northline, Southgate, MI 48195 | 2008-05-07 |
| 1669643409 | Amanda Byrnes | Social Worker | 15601 Northline Rd, Southgate, MI 48195-2334 | 2008-03-20 |
| Find all providers in SOUTHGATE | ||||
Please comment or provide details below to improve the information on DOMINIQUE ZANDER.
| 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.