MICHELLE M. FUNDARO (NPI# 1750729281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750729281 |
| Entity Type | Individual |
| Full Name | MICHELLE M. FUNDARO |
| Other Name | MICHELLE M. INGELS |
| Credential | LMSW |
| Practice Address |
2333 Biddle Avenue Behavioral Services Wyandotte MI 48192 |
| Mailing Address |
1640 Fort Street Suite D Attn Denise Trenton MI 48183 |
| Practice Telephone | 7342469246 |
| Mailing Telephone | 7343913057 |
| Mailing Fax Number | 7343913052 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2016-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801081926 | MI | Behavioral Health & Social Service Providers |
| Street Address |
2333 BIDDLE AVENUE BEHAVIORAL SERVICES |
| City | WYANDOTTE |
| State | MI |
| Zip Code | 48192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386609444 | Nanjappa C Sadasivan | Radiology | 2333 Biddle Avenue, Wyandotte, MI 48192 | 2006-04-19 |
| 1619408051 | Danielle Hunt Ortega | Family Medicine | 2333 Biddle Avenue, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-27 |
| 1396106183 | Justin Nippert | Emergency Medicine | 2333 Biddle Avenue, Wyandotte, MI 48192 | 2016-03-08 |
| 1093182883 | Henry Ford Wyandotte Hospital | Pharmacy | 2333 Biddle Avenue, Wyandotte, MI 48192-0000 | 2015-08-27 |
| 1366832511 | Henry Ford Health System | Clinic/Center | 2333 Biddle Avenue, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2015-01-27 |
| 1831501808 | Shontaya Carrico | Clinical Nurse Specialist | 2333 Biddle Avenue, Wyandotte, MI 48192 | 2014-05-27 |
| 1659441590 | Lori Jean Stoddart | Occupational Therapist | 2333 Biddle Avenue, Wyandotte, MI 48192-4693 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1912483819 | Fast Care Pharmacy LLC | Pharmacy | 1209 Fort St, Wyandotte, MI 48192 | 2018-07-13 |
| 1518464106 | Tyson Reed Mckechnie | Emergency Medicine | Henry Ford Wyandotte Hospital, Medical Education Dept., 2333 Biddle Ave., Wyandotte, MI 48192 | 2018-04-10 |
| 1275038572 | Joanna Fourtounis | Emergency Medicine | Henry Ford Wyandotte Medical Education Office, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-28 |
| 1841794120 | Henry Tan | Student in an Organized Health Care Education/Training Program | Henry Ford Wyandotte Hospital, Medical Education Depart, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-21 |
| 1174042857 | Ashley Marie Kobylasz | Social Worker | 1506 16th Street, Wyandotte, MI 48192 | 2017-09-14 |
| 1831630631 | Vanessa Majeski | Surgery | 8333 Biddle Ave, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-13 |
| 1346796984 | Jordan Yagiela | Community/Behavioral Health | 1940 Ludington Street, Wyandotte, MI 48192 | 2016-09-01 |
| 1649642505 | Superior Visions Inc | In Home Supportive Care | 2709 Fort Street, Wyandotte, MI 48192 | 2015-10-30 |
| Find all providers in zip 48192 | ||||
| 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 |
|---|---|---|---|---|
| 1174028823 | Out of Ashes LLC | Social Worker | 135 N Riverbank St, Wyandotte, MI 48192-2707 | 2018-03-26 |
| 1477886554 | Velma D. Jordan | Social Worker | 138 Sycamore St, Wyandotte, MI 48192-5955 | 2009-09-08 |
| 1154434959 | Susan Mahalik | Social Worker | 2514 Biddle Ave, Wyandotte, MI 48192-7891 | 2006-08-16 |
| 1366884272 | Mary Ann Corneliussen | Social Worker | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2013-07-19 |
| 1457699084 | Latisha Myles | Social Worker | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2013-01-16 |
| 1841538493 | Annette H Prescod-bourne | Social Worker | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2013-01-16 |
| 1184961724 | Dianne Marie Stachel | Social Worker | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2013-01-15 |
| 1932445046 | Elaine Rochelle Thomas | Social Worker | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2012-12-17 |
| 1902053101 | Karen Kristine Dunholter | Social Worker | 2514 Biddle Ave, Wyandotte, MI 48192-7891 | 2008-08-19 |
| 1861523201 | Margaret Mary Pfeifer Lincoln | Social Worker | 2514 Biddle Ave, Wyandotte, MI 48192 | 2007-03-08 |
| Find all providers in WYANDOTTE | ||||
Please comment or provide details below to improve the information on MICHELLE M. FUNDARO.
| 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.