COREY SOPER (NPI# 1770138398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770138398 |
| Entity Type | Individual |
| Full Name | COREY SOPER |
| Credential | LMSW |
| Practice Address |
58144 Gratiot Ave New Haven MI 48048 |
| Practice Telephone | 5867495197 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801097132 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7 1st St, Yale, MI 480972801 | 8103045498 |
| Street Address |
58144 GRATIOT AVE |
| City | NEW HAVEN |
| State | MI |
| Zip Code | 48048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659352409 | Kimberly H Thompson | Family Medicine | 58144 Gratiot Ave, New Haven, MI 48048 | 2005-11-09 |
| 1285293837 | Rachael Vernon | Dentist | 58144 Gratiot Ave, New Haven, MI 48048 | 2019-06-07 |
| 1386135879 | Alisa Puvalowski | Dental Hygienist | 58144 Gratiot Ave, New Haven, MI 48048 | 2018-05-21 |
| 1013448067 | Aaron William Cloutier | Family Medicine | 58144 Gratiot Ave, New Haven, MI 48048 | 2017-03-22 |
| 1750757282 | Downriver Community Services, Inc. | Clinic/Center | 58144 Gratiot Ave, New Haven, MI 48048 | 2015-08-19 |
| 1689085268 | Downriver Community Services, Inc. | Obstetrics & Gynecology | 58144 Gratiot Ave, New Haven, MI 48048 | 2014-05-16 |
| 1295032449 | Downriver Community Services Inc | Pharmacy | 58144 Gratiot Ave, New Haven, MI 48048 | 2011-02-24 |
| 1700052438 | Katherine Tyrrell | Dietitian, Registered | 58144 Gratiot Ave, New Haven, MI 48048 | 2008-05-02 |
| 1265628291 | Yax & Stec Dental Associates, Pllc | Dentist | 58144 Gratiot Ave, Suite 316, New Haven, MI 48048 | 2007-09-24 |
| 1740473362 | Kimberly Irene Vogel | Dentist | 58144 Gratiot Ave, New Haven, MI 48048 | 2007-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255847893 | Heather Fonville | Licensed Practical Nurse | 3201 E. Cranston, New Haven, MI 48048 | 2017-12-19 |
| 1205251295 | Adrianne Jones Steiner | Counselor | 58144 Gratiot Ave., New Haven, MI 48048 | 2014-02-27 |
| 1679773659 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 36865 26 Mile Rd, Lenox, MI 48048 | 2007-07-19 |
| 1588761506 | Charles Joseph Sobers | Dentist | 58144 Gratiot, Suite #316, New Haven, MI 48048 | 2006-09-20 |
| 1679571392 | Downriver Community Services, Inc. | Clinic/Center | 58144 Gratiot Avenue, New Haven, MI 48048 | 2005-07-08 |
| 1295985802 | Chandra Lowe | Social Worker | 58144 Gratiot Avenue, New Haven, MI 48048 | 2008-09-19 |
| 1427248038 | Early Solution Clinic | Clinic/Center | 36865 26 Mile Rd, Lenox, MI 48048 | 2007-07-30 |
| 1952502569 | Debra Smith | Registered Nurse | 58144 Gratiot Avenue, New Haven, MI 48048 | 2007-05-30 |
| 1336246792 | Virginia Hartner | Registered Nurse | 58144 Gratiot Avenue, New Haven, MI 48048 | 2006-09-20 |
| 1932206398 | Doreen Mccomas | Social Worker | 58144 Gratiot Avenue, New Haven, MI 48048 | 2006-09-20 |
| Find all providers in zip 48048 | ||||
| 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 |
|---|---|---|---|---|
| 1700412806 | Markysha Douglas | Social Worker | 458 Grand Ave Ste 103, New Haven, CT 06513-3873 | 2020-03-20 |
| 1306401377 | Reliant Behavioral Health and Community Services | Social Worker | 419 Whalley Ave Fl 1, New Haven, CT 06511-3019 | 2019-05-06 |
| 1740744432 | Nir Yehudai | Social Worker | 386 Prospect St Apt A2, New Haven, CT 06511-2117 | 2019-01-26 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1023525185 | Sarah Ranaudo | Social Worker | 419 Whalley Ave Ste 300, New Haven, CT 06511-3019 | 2018-01-10 |
| 1639555410 | Sophie Anna Lembeck | Social Worker | 265 College St Apt 12k, New Haven, CT 06510-2426 | 2015-08-04 |
| 1487043063 | Yvonne Patricia O'brien | Social Worker | 230 Ashmun Street, New Haven, CT 06511 | 2015-01-20 |
| 1568890580 | Donella Manno | Social Worker | 395 Blake St # 2, New Haven, CT 06515-1240 | 2013-10-30 |
| 1376808865 | Samuel Michael Adelman | Social Worker | 307 Humphrey St, New Haven, CT 06511-3934 | 2012-07-10 |
| 1659658649 | Tanisha Sonjia Bundy | Social Worker | 191 Whalley Ave Apt 158, New Haven, CT 06511-3220 | 2011-11-04 |
| Find all providers in NEW HAVEN | ||||
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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.