MICHAEL TIMOTHY CARROLL (NPI# 1942774054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942774054 |
| Entity Type | Individual |
| Full Name | MICHAEL TIMOTHY CARROLL |
| Credential | LLMSW |
| Practice Address |
4880 Lawndale St Detroit MI 48210-2010 |
| Mailing Address |
145 E Maplehurst St Ferndale MI 48220-2687 |
| Practice Telephone | 3138466030 |
| Mailing Telephone | 5868406456 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801104905 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114485919 | Michael John Carroll | Dietitian, Registered | 276 Randolph Ave, East Rutherford, NJ 07073-1345 | 2019-03-11 |
| 1710481544 | Michael Carroll | Specialist/Technologist | 8170 Denver Rd, Waverly, OH 45690-9535 | 2018-03-19 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1083913982 | Michael Carroll | Pharmacist | 4936 Veterans Blvd., Metairie, LA 70003 | 2011-03-18 |
| 1366569261 | Michael Thomas Carroll | Physical Therapist | 8 Oak St, Port Jervis, NY 12771-1423 | 2007-03-23 |
| 1992715999 | Michael Kevin Carroll | Physical Therapy Assistant | 9401 Fountain Medical Ct, Bonita Springs, FL 34135-4612 | 2006-08-09 |
| 1396774725 | Michael Joseph Carroll | Specialist/Technologist | 2650 W Overhill Dr, Stephenville, TX 76401-1972 | 2006-06-30 |
| 1487655932 | Michael Lindsey Carroll | Internal Medicine | 9208 Elam Rd, Ste 220, Dallas, TX 75217-4178 | 2005-08-09 |
| 1609876978 | Michael G Carroll | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2005-07-28 |
| 1427051291 | Michael C Carroll | Podiatrist | 33 E County Line Rd, Suite B, Greenwood, IN 46143-1043 | 2005-05-24 |
| Street Address |
4880 LAWNDALE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48210-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194790071 | Josette Marie French | Family Medicine | 4880 Lawndale St, Detroit, MI 48210-2010 | 2006-02-22 |
| 1891330767 | Ruth Meyers | Social Worker | 4880 Lawndale St, Detroit, MI 48210-2010 | 2019-11-14 |
| 1699248724 | Laura Diane Sorrells | Case Manager/Care Coordinator | 4880 Lawndale St, Detroit, MI 48210-2010 | 2019-01-11 |
| 1598238677 | Michael Luis Meza | Counselor | 4880 Lawndale St, Detroit, MI 48210-2010 | 2019-01-10 |
| 1114400256 | Leslie Marie Theisen | Nurse Practitioner | 4880 Lawndale St, Detroit, MI 48210-2010 | 2018-09-14 |
| 1881108405 | Christopher Neil Biek | Social Worker | 4880 Lawndale St, Detroit, MI 48210-2010 | 2017-11-17 |
| 1033631775 | American Indian Health and Family Services of Southeastern Mi Inc | In Home Supportive Care | 4880 Lawndale St, Detroit, MI 48210-2010 | 2017-07-14 |
| 1972955490 | Eric Leon Wilkins | Social Worker | 4880 Lawndale St, Detroit, MI 48210-2010 | 2016-07-08 |
| 1326404120 | Amy Runkle | Social Worker | 4880 Lawndale St, Detroit, MI 48210-2010 | 2016-01-08 |
| 1689039109 | Suzanne Fletcher Pappenhagen | Student in an Organized Health Care Education/Training Program | 4880 Lawndale St, Detroit, MI 48210-2010 | 2015-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517606 | Southwest Solutions | Counselor | 5716 Michigan, Detroit, MI 48210 | 2019-09-19 |
| 1942676150 | Audrey Hall | Case Manager/Care Coordinator | 6576 Woodrow St, Detroit, MI 48210 | 2015-08-12 |
| 1952705147 | Barbara Denise Mccowin-west | Technician, Other | 6900 Mcgraw, Detroit, MI 48210 | 2014-10-16 |
| 1922259456 | Dawn Marie Sanderson | Counselor | 5613 Livernois, Detroit, MI 48210 | 2008-10-02 |
| 1366552804 | American Indian Health and Family Services of Southeastern Mi Inc | In Home Supportive Care | 4880 Lawndalestreet, Detroit, MI 48210 | 2006-08-30 |
| 1912950163 | Irwin Rabinowitz | Pharmacist | Junction Clinic Pharmacy 4771 Michigan Ave., Detroit, MI 48210 | 2006-05-18 |
| 1295229110 | Anne Marie Galus | Dentist | 5716 Michigan Ave, Detroit, MI 48210 | 2018-06-15 |
| 1124547948 | Sarah Fay Walsworth | Physician Assistant | 5716 Michigan Ave, Detroit, MI 48210 | 2017-09-13 |
| 1538305909 | Barbara Ann Menzies-williams | Internal Medicine | 6550 W Warren Ave, Detroit, MI 48210 | 2009-01-06 |
| 1760678437 | Clement T Piaskowski | Optometrist | 7433 Michigan Ave, Detroit, MI 48210 | 2007-09-17 |
| Find all providers in zip 48210 | ||||
| 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 |
|---|---|---|---|---|
| 1497363758 | Ana H Calandrino | Social Worker | 155 W Congress St Ste 206, Detroit, MI 48226-3200 | 2020-07-22 |
| 1295352532 | Laysha Cooks | Social Worker | 18638 Hartwell St, Detroit, MI 48235-1345 | 2020-07-02 |
| 1851922892 | Celeste Gaskin | Social Worker | 9103 Longworth St, Detroit, MI 48209-1717 | 2020-01-29 |
| 1619526100 | Diamond Adult Foster and Respite Homes LLC | Social Worker | 8028 Middlepoint St, Detroit, MI 48204-3132 | 2019-09-06 |
| 1083269922 | Amelia Mariah Allen | Social Worker | 13511 Archdale St, Detroit, MI 48227-1335 | 2019-08-07 |
| 1942853023 | Eshe Institute LLC | Social Worker | 19600 Grand River Ave, Detroit, MI 48223-1280 | 2019-07-18 |
| 1013569920 | Tatyana Aubrey Pryor | Social Worker | 6821 Medbury St, Detroit, MI 48211-3317 | 2019-07-10 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1902464969 | Michanda Gant | Social Worker | 18244 W Mcnichols Rd, Detroit, MI 48219-4163 | 2019-06-04 |
| Find all providers in DETROIT | ||||
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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.