KIRSTEN LISE MACK (NPI# 1891845640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891845640 |
| Entity Type | Individual |
| Full Name | KIRSTEN LISE MACK |
| Credential | LMSW |
| Practice Address |
18316 Middlebelt Rd Livonia MI 48152-5007 |
| Practice Telephone | 2486159730 |
| Mailing Telephone | 2486159730 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801083383 | MI | Behavioral Health & Social Service Providers |
| Street Address |
18316 MIDDLEBELT RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316042328 | Shannon Marie Canfield | Psychologist | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2006-09-14 |
| 1396252193 | Alesha F Carter | Counselor | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2018-01-03 |
| 1063927192 | Sylvia Williams | Case Manager/Care Coordinator | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2017-12-12 |
| 1588181697 | Jourdan Johnson | Psychologist | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2017-08-29 |
| 1295252534 | Abby Fedewa | Social Worker | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2017-08-28 |
| 1902323330 | Emily Therese Gutman | Social Worker | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2017-08-25 |
| 1225551682 | Torlisa Wright | Case Manager/Care Coordinator | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2017-07-18 |
| 1972024305 | Attiya Younis | Social Worker | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2017-07-06 |
| 1811447022 | Tessa Miller | Social Worker | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2016-10-12 |
| 1184171571 | Natalie Schafer | Social Worker | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2016-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| 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 |
|---|---|---|---|---|
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1760966659 | Rl Hurwitz PC | Social Worker | 17940 Farmington Rd Ste 222, Livonia, MI 48152-3185 | 2018-09-18 |
| 1063926459 | Cheryl Ann Betz | Social Worker | 14149 Farmington Rd, Livonia, MI 48154-5422 | 2017-11-22 |
| 1407365562 | Barbara Anne Brick | Social Worker | 14435 Newburgh Rd, Livonia, MI 48154-5013 | 2017-09-21 |
| 1679014872 | Roeslaid Renee Mclaurine | Social Worker | 33200 Schoolcraft Rd Ste 106, Livonia, MI 48150-1643 | 2017-03-20 |
| 1578911707 | Monika Domke | Social Worker | 15223 Farmington Rd Ste 8, Livonia, MI 48154 | 2016-05-27 |
| 1821479643 | Timothy Foley | Social Worker | 33186 Myrna Ct, Livonia, MI 48154-2916 | 2015-06-17 |
| 1699166710 | Ian Stuart Lloyd | Social Worker | 37799 Prof Center #106, Livonia, MI 48154-1123 | 2015-02-11 |
| 1548668080 | Janice Gonzalez | Social Worker | 34750 Northland Dr., Livonia, MI 48152 | 2014-12-16 |
| 1891199592 | Sara Collins | Social Worker | 35470 Oakdale St, Livonia, MI 48154-2236 | 2014-10-09 |
| Find all providers in LIVONIA | ||||
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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.