CARLENE J BROCKERT LLC (NPI# 1780248724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780248724 |
| Entity Type | Organization |
| Organization Name | CARLENE J BROCKERT LLC |
| Practice Address |
22309 Mylls St Saint Clair Shores MI 48081-1342 |
| Practice Telephone | 5869444790 |
| Mailing Telephone | 5869444790 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Authorized Official Name | CARLENE J BROCKERT (OWNER) |
| Authorized Official Telephone | 5869444790 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
22309 MYLLS ST |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063076008 | Imagine Counseling | Community/Behavioral Health | 20601 Yale St, Saint Clair Shores, MI 48081-1779 | 2019-04-25 |
| 1851765341 | Jackie Placidi Msw, Lmsw | Community/Behavioral Health | 21610 E 11 Mile Rd Ste 4, Saint Clair Shores, MI 48081-1671 | 2015-11-20 |
| 1952589822 | Erz Psychotherapy Services | Community/Behavioral Health | 22811 Greater Mack Ave Ste 107, Saint Clair Shores, MI 48080-2053 | 2008-02-04 |
| 1235283383 | Homes of Opportunity Incorporated | Community/Behavioral Health | 23420 Greater Mack Avenue, Suite C, Saint Clair Shores, MI 48080-3400 | 2007-01-23 |
| 1659923159 | Sherry R Scott | Community/Behavioral Health | 21323 Harper Ave, Saint Clair Shores, MI 48080-2224 | 2019-07-15 |
| 1093282881 | Sacred Heart Rehabilitation Center, Inc. | Community/Behavioral Health | 19611 E 8 Mile Rd, Saint Clair Shores, MI 48080-1655 | 2018-10-30 |
| 1881128627 | Shorepointe Counseling P.l.c. | Community/Behavioral Health | 23409 Jefferson Ave, Suite 100, Saint Clair Shores, MI 48080-3449 | 2017-04-19 |
| 1609300490 | Transformation Center for Victims of Abuse | Community/Behavioral Health | 23411 Jefferson Ave, 107, Saint Clair Shores, MI 48080-1949 | 2017-04-18 |
| 1467997528 | The Carter Institute for Gifted Children | Community/Behavioral Health | 24518 Harper Ave, Saint Clair Shores, MI 48080-1238 | 2016-12-28 |
| 1023560851 | Blue Water Counseling and Wellness Center, Inc. | Community/Behavioral Health | 25490 Little Mack Ave, Saint Clair Shores, MI 48081-2157 | 2016-10-27 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
Please comment or provide details below to improve the information on CARLENE J BROCKERT LLC.
| 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.