MARGO MOLTMAKER (NPI# 1902280381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902280381 |
| Entity Type | Individual |
| Full Name | MARGO MOLTMAKER |
| Credential | MA, LLPC |
| Practice Address |
21885 Dunham Rd Suite 1 Clinton Township MI 48036-1030 |
| Practice Telephone | 5864695950 |
| Mailing Telephone | 5864695950 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 6401014008 | MI | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 386004868 | 05 |
| Street Address |
21885 DUNHAM RD SUITE 1 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48036-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831237288 | Michael Larry Byck | Psychologist | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2007-02-01 |
| 1710539655 | Samantha Ann Shankin | Social Worker | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2019-07-11 |
| 1104393628 | Samantha L Winters | Social Worker | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2018-11-02 |
| 1467927632 | Tracie Johnson | Counselor | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2018-10-03 |
| 1548748072 | Cherrell Zeimis | Social Worker | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2018-08-06 |
| 1306354907 | Jessica L Murfin | Social Worker | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2018-01-17 |
| 1770011207 | Ashley Nicole Douglas | Social Worker | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2017-05-29 |
| 1366806531 | Patricia Ballard | Counselor | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2016-04-13 |
| 1780048504 | Darnicia Simley | Counselor | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2016-04-07 |
| 1265817340 | Mary Bowers | Point of Service | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2015-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1689119729 | The Salvation Army Harbor Light Macomb | Substance Abuse Rehabilitation Facility | 42950 Stepnitz Drive, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| Find all providers in zip 48036 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063855112 | Demetria Ann Gross | Point of Service | 41045 Vista Woods Way, Clinton Township, MI 48038-4536 | 2013-04-09 |
| 1265817340 | Mary Bowers | Point of Service | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2015-07-30 |
| 1265817555 | Roxanne Mitchell | Point of Service | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2015-07-28 |
| 1396120101 | Sharna Deluca | Point of Service | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2015-07-22 |
| 1568846897 | Macomb County Community Mental Health | Point of Service | 21885 Dunham Rd, Suite 1, Clinton Township, MI 48036-1030 | 2015-07-16 |
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| 1093228124 | Khidmah LLC | Point of Service | 9315 Joseph Campau St, Hamtramck, MI 48212-3433 | 2017-11-11 |
| 1508307273 | Central Michigan University | Point of Service | 203 E Broomfield, Rose 145, Mt Pleasant, MI 48859-0001 | 2017-03-15 |
| 1083159545 | Marley Gannon Pagel Lmsw, Acsw, LLC | Point of Service | 474 Iris Ln, Saline, MI 48176-9092 | 2016-12-19 |
| 1295277663 | Oceansblue 24 Hr Home Care 4 | Point of Service | 15336 Washburn St, Detroit, MI 48238-1662 | 2016-11-16 |
| 1720434384 | Kelly Mcclain | Point of Service | 2125 Denwood Ave Sw, Wyoming, MI 49509-1962 | 2016-05-12 |
| 1902266356 | Central Michigan Care | Point of Service | 798 S Whiteville Rd, Mt Pleasant, MI 48858-8776 | 2016-02-28 |
| 1073982070 | Bellis | Point of Service | 33037 Grand River Ave, Farmington, MI 48336-3119 | 2015-09-20 |
| 1740666098 | Nariman Shamoon | Point of Service | 14585 Sparrow Dr, Shelby Township, MI 48315-5042 | 2015-08-09 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48036 |
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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.