PEGGY LISS MSW, L.L.C. (NPI# 1770143109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770143109 |
| Entity Type | Organization |
| Organization Name | PEGGY LISS MSW, L.L.C. |
| Practice Address |
2311 Glenwood Dr Kalamazoo MI 49008-1978 |
| Practice Telephone | 2695983886 |
| Mailing Telephone | 2695983886 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | MS. PEGGY LISS (CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 2695983886 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1285690685 | 05 |
| Street Address |
2311 GLENWOOD DR |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285690685 | Peggy S. Liss | Social Worker | 2311 Glenwood Dr, Kalamazoo, MI 49008-1978 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760419691 | Interact of Michigan, Inc | Clinic/Center | 610 South Burdick St, Kalamazoo, MI 49007-5221 | 2006-06-27 |
| 1922083203 | Hope Network South | Clinic/Center | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2005-12-09 |
| 1346743721 | Solutions for Life Pllc | Clinic/Center | 3030 S 9th St Ste 3g, Kalamazoo, MI 49009-9456 | 2018-03-13 |
| 1265865935 | Kalamazoo Community Mental Health Services | Clinic/Center | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 | 2013-08-16 |
| 1821392051 | Ronald M. Crafton, PC | Clinic/Center | 5955 W Main St, Kalamazoo, MI 49009-8700 | 2011-01-03 |
| 1538341359 | Family & Children Services | Clinic/Center | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2007-12-04 |
| 1912919531 | Kalamazoo Community Mental Helath and Substance Abuse Services | Clinic/Center | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 | 2006-08-12 |
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| 1639789688 | Itherapygenx, Pllc | Clinic/Center | 31701 Grandview Ave, Westland, MI 48186-8958 | 2020-08-05 |
| 1619595832 | Peace of Mind, LLC | Clinic/Center | 41750 Foster Dr Unit 204, Novi, MI 48375-1976 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
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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.