MS. MICHELLE RENEE WILLIS (NPI# 1790710432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790710432 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE RENEE WILLIS |
| Credential | MSW |
| Practice Address |
5570 Sterrett Pl Suite 101 Columbia MD 21044-2641 |
| Mailing Address |
7537 Murray Hill Rd Apt 732 Columbia MD 21046-1826 |
| Practice Telephone | 4107300552 |
| Practice Fax Number | 4107154720 |
| Mailing Telephone | 3013625676 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
12379 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MH | CAQH | 11605292 | 01 |
| MD | 010052800 | 05 | |
| MD | MAGELLEN HEALTHCARE | 600007429 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922305051 | Michelle L Willis | Nurse Practitioner | 25 Business Park Dr, Greenbrier, AR 72058-9263 | 2011-02-25 |
| 1255567574 | Michelle Dianne Willis | Family Medicine | 12151 Regency Pkwy Ste 155, Huntley, IL 60142-7644 | 2009-06-01 |
| 1386255180 | Michelle Willis | Technician | 281 Maple Ave, Oak Hill, WV 25901-3475 | 2020-08-14 |
| 1285275503 | Michelle J Willis | Technician | 1711 Benning Rd Ne Apt F14, Washington, DC 20002-7250 | 2019-10-08 |
| 1780244582 | Michelle Lynn Willis | Social Worker | 1110 Benfield Blvd Ste B, Millersville, MD 21108-2644 | 2019-06-14 |
| 1770047557 | Michelle Rene Willis | Nurse Practitioner | 3901 E 32nd St, Joplin, MO 64804-3312 | 2019-01-26 |
| 1952762098 | Michelle Willis | Occupational Therapist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2016-03-17 |
| 1356747604 | Michelle Willis | Physical Therapist | 507 S Main St, Viroqua, WI 54665-2059 | 2014-11-14 |
| 1548505993 | Michelle Y Willis | Registered Nurse | 3101 Burnet Ave, Cincinnati, OH 45229-3014 | 2012-12-11 |
| 1871737585 | Michelle L Willis | Respiratory Therapist, Certified | 5806 Cooper Chapel Rd, Louisville, KY 40229-1312 | 2009-04-24 |
| Street Address |
5570 STERRETT PL SUITE 101 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245779685 | Creatively, LLC | Community/Behavioral Health | 5570 Sterrett Pl, Ste 100, Columbia, MD 21044-2641 | 2017-02-17 |
| 1225574023 | Family Mental Clinic LLC | Clinic/Center | 5570 Sterrett Pl, 100, Columbia, MD 21044-2641 | 2017-01-17 |
| 1629512603 | Family Therapy Group, LLC | Marriage & Family Therapist | 5570 Sterrett Pl, Suite 305, Columbia, MD 21044-2641 | 2016-12-12 |
| 1992254122 | Regina Durso | Social Worker | 5570 Sterrett Pl, Suite 206, Columbia, MD 21044-2641 | 2016-09-29 |
| 1366899197 | Jody Southall | Acupuncturist | 5570 Sterrett Pl, Suite 308, Columbia, MD 21044-2641 | 2016-05-23 |
| 1811372311 | Sandy Lynne Rappeport | Social Worker | 5570 Sterrett Pl, Suite 206, Columbia, MD 21044-2641 | 2015-07-25 |
| 1861898983 | Jennum Christine O'hara | Acupuncturist | 5570 Sterrett Pl, Suite 210, Columbia, MD 21044-2641 | 2014-11-17 |
| 1750787602 | Lev Grotel | Social Worker | 5570 Sterrett Pl, Suite 206, Columbia, MD 21044-2641 | 2014-11-04 |
| 1790187185 | Marcie Alayne Lovell | Counselor | 5570 Sterrett Pl, 206, Columbia, MD 21044-2641 | 2014-09-17 |
| 1104257906 | Columbia Addictions Center | Counselor | 5570 Sterrett Pl, Suite 205, Columbia, MD 21044-2641 | 2013-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| 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 |
|---|---|---|---|---|
| 1699396135 | Elana Patrice Bouldin | Social Worker | 5570 Sterrett Pl Ste 205, Columbia, MD 21044-2649 | 2020-05-06 |
| 1659992998 | Stacey Denise Mcphail | Social Worker | 5402 Magnolia Park Cir, Columbia, SC 29206-1164 | 2020-04-28 |
| 1205455912 | Jordan Desai | Social Worker | 826 Maple St, Columbia, SC 29205-1732 | 2020-04-13 |
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1740810183 | Shannon Jean Haynes | Social Worker | 755 Viola Ct, Columbia, SC 29229-7089 | 2020-01-24 |
| 1093345241 | Michael R. Williams | Social Worker | 304 Laurel Rise Ln, Columbia, SC 29229-7403 | 2020-01-16 |
| 1427697523 | Elizabeth Lynn Meritt | Social Worker | 7344 Eden Brook Dr Apt 928, Columbia, MD 21046-1288 | 2020-01-06 |
| 1134762735 | Scott Buis | Social Worker | 2120 E Business Loop 70, Columbia, MO 65201-5504 | 2019-10-26 |
| 1295378859 | Andrea Terese Rule | Social Worker | 210 W Sand Bank Rd Ste 14, Columbia, IL 62236-1044 | 2019-10-25 |
| 1710529144 | Christine M Lero | Social Worker | 1604 Pickard Way, Columbia, MO 65203-4722 | 2019-10-17 |
| Find all providers in COLUMBIA | ||||
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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.