MACKENZIE BEDOR (NPI# 1881189918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881189918 |
| Entity Type | Individual |
| Full Name | MACKENZIE BEDOR |
| Credential | LLMSW |
| Practice Address |
1701 Baldwin Ave Pontiac MI 48340-3412 |
| Mailing Address |
8047 Bridge Lake Rd Clarkston MI 48348-4146 |
| Practice Telephone | 2483344962 |
| Mailing Telephone | 2488046357 |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2018-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801102645 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1701 BALDWIN AVE |
| City | PONTIAC |
| State | MI |
| Zip Code | 48340-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664254 | Deborah Lynne Eckert | Nurse Practitioner | 1701 Baldwin Ave, Suite 101, Pontiac, MI 48340-3412 | 2005-07-26 |
| 1457711202 | Oakland Integrated Healthcare Network | Clinic/Center | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2016-03-07 |
| 1780044131 | Molly Mitchell | Nurse Practitioner | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2016-02-27 |
| 1578931630 | Arlie Land | Pharmacist | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2015-09-07 |
| 1528330420 | Great Lakes Foot Care P.C. | Podiatrist | 1701 Baldwin Ave, B, Pontiac, MI 48340-3412 | 2012-02-07 |
| 1912237512 | Louis D Soverinsky D.o. Pllc | Clinic/Center | 1701 Baldwin Ave, Suite 203, Pontiac, MI 48340-3412 | 2010-01-04 |
| 1295981470 | Deshonda Shonta Tyynismaa | Nurse Practitioner | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2008-08-07 |
| 1184892143 | Pine Knob Pharmacy #6 | Durable Medical Equipment & Medical Supplies | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2008-02-13 |
| 1295931517 | Arnold C. Fellman, M.d., P.C. | Dermatology | 1701 Baldwin Ave, Suite 207, Pontiac, MI 48340-3412 | 2007-06-24 |
| 1053496554 | Steven R Binder | Podiatrist | 1701 Baldwin Ave, B, Pontiac, MI 48340-3412 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882799 | Maryan Luay Alkhoory | Dentist | 1620 N Perry St # 1, Pontiac, MI 48340 | 2018-05-26 |
| 1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
| 1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
| 1609237965 | Stephanie Stephan | Dentist | 1590 Baldwin Ave, Auburn Hills, MI 48340 | 2016-03-15 |
| 1376908921 | Jump Start LLC Maternal Infant Health Program | Exclusive Provider Organization | 1086 Williamson Cir, Pontiac, MI 48340 | 2015-12-28 |
| 1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
| 1104223544 | Tammy Fletcher | Registered Nurse | 1841 N Perry, Pontiac, MI 48340 | 2014-12-01 |
| 1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
| 1447583398 | Dial A Doc Physicians PC | Pain Medicine | 28 N Saginaw, Chase Building, Pontiac, MI 48340 | 2009-09-10 |
| 1619199171 | Jann E. Trzeciak | Family Medicine | 1915 N Perrt Street, Pontiac, MI 48340 | 2007-05-03 |
| Find all providers in zip 48340 | ||||
| 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 |
|---|---|---|---|---|
| 1104449958 | Shaquala Phillips | Social Worker | 666 Palmer Dr, Pontiac, MI 48342-1854 | 2020-05-27 |
| 1265955538 | Shanti Marie Turner | Social Worker | 26 N Shirley St, Pontiac, MI 48342-2758 | 2017-07-19 |
| 1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
| 1265982078 | Keon Sims | Social Worker | 185 Elizabeth Lake Rd, Pontiac, MI 48341-1010 | 2016-10-05 |
| 1275941551 | Lara Hatch | Social Worker | 1685 Baldwin Ave Ste A, Pontiac, MI 48340-1115 | 2014-07-30 |
| 1356782361 | Shawntrelle Contessa Pettiford | Social Worker | 23 N Shirley St, Pontiac, MI 48342-2759 | 2013-07-08 |
| 1972942795 | Larissa Anthea Heap | Social Worker | 51111 Woodward Ave, Pontiac, MI 48342-5036 | 2013-06-14 |
| 1710322185 | Constance Brown | Social Worker | 1015 University Dr, Pontiac, MI 48342-1869 | 2013-04-30 |
| 1003042755 | Melanie Barbara Snyder-lindblom | Social Worker | 300 W Huron St, Pontiac, MI 48341-1420 | 2009-06-09 |
| 1083826069 | Margaret M. Mcivor | Social Worker | 35 West Huron, Suite 10 South, Pontiac, MI 48342 | 2007-05-04 |
| Find all providers in PONTIAC | ||||
Please comment or provide details below to improve the information on MACKENZIE BEDOR.
| 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.