JACQUELINE NICOLE KISSE (NPI# 1861840571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861840571 |
| Entity Type | Individual |
| Full Name | JACQUELINE NICOLE KISSE |
| Practice Address |
30000 Hiveley Road Inkster MI 48141 |
| Mailing Address |
1840 Old Town Ave West Bloomfield MI 48324 |
| Practice Telephone | 7347283400 |
| Mailing Telephone | 2482852345 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801099406 | MI | Behavioral Health & Social Service Providers |
| Street Address |
30000 HIVELEY ROAD |
| City | INKSTER |
| State | MI |
| Zip Code | 48141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776968 | Hollywood Pharmacy Group LLP | Pharmacy | 26831 Michigan Ave, Inkster, MI 48141 | 2018-10-17 |
| 1851872279 | Gillian Margaret Clifford | Nurse Practitioner | Western Wayne Family Health Centers, 2700 Hamlin Blvd., Inkster, MI 48141 | 2018-08-23 |
| 1053805119 | Audrey K Logan | Technician/Technologist | 1403 Inkster Road, Inkster, MI 48141 | 2018-06-21 |
| 1326555830 | Catherine Marie Wahl | Student in an Organized Health Care Education/Training Program | 2700 Hamlin Drive, Inkster, MI 48141 | 2018-01-05 |
| 1659899623 | Martin Unachukwu | Licensed Practical Nurse | 3650 Farnum St., Inkster, MI 48141 | 2017-08-30 |
| 1376063669 | Orlando Robinson | In Home Supportive Care | 26144 Princeton, Inkster, MI 48141 | 2017-06-27 |
| 1518402973 | Jane Stanton | Student in an Organized Health Care Education/Training Program | 30000 Hiveley, Inkster, MI 48141 | 2016-12-21 |
| 1730538646 | Dawn Rucker | Technician, Other | 29970 Oakwood St., Inkster, MI 48141 | 2016-06-10 |
| 1598134652 | Missionary Daughters of The Eternal Father | Home Health | 219 Cherry Hill Trail, Apt: 202, Inkster, MI 48141 | 2015-09-18 |
| 1265858286 | Milqcare | Social Worker | 3220 Allen St, Inkster, MI 48141 | 2014-03-14 |
| Find all providers in zip 48141 | ||||
| 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 |
|---|---|---|---|---|
| 1902300437 | Kunal Namballa | Social Worker | 26279 Michigan Ave, Inkster, MI 48141-2460 | 2018-03-20 |
| 1073062725 | Missionary Servants of Divine Providence | Social Worker | 26629 Hopkins St, Inkster, MI 48141-3111 | 2016-09-22 |
| 1720479322 | Nathaniel Sims | Social Worker | 26033 Penn St, Inkster, MI 48141-2638 | 2015-02-18 |
| 1508255969 | Katherine Mary Oleksiak | Social Worker | 25912 Annapolis St, Inkster, MI 48141-3201 | 2015-01-22 |
| 1265858286 | Milqcare | Social Worker | 3220 Allen St, Inkster, MI 48141 | 2014-03-14 |
| 1699906859 | One2go LLC | Social Worker | 29632 Parkwood St, Suite B, Inkster, MI 48141-1565 | 2009-08-05 |
| 1548860646 | Rebekka Anne Hale | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-10-28 |
| 1215535117 | Alexis Nicole Tillery | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-10-13 |
| 1043828841 | Emily Thiel | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-07-17 |
| 1063020873 | Melissa Stellini | Social Worker | 25912 Annapolis St, Inkster, MI 48141-3201 | 2020-07-17 |
| Find all providers in INKSTER | ||||
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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.