MR. BURTON DAVID GOTTLIEB (NPI# 1972879237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972879237 |
| Entity Type | Individual |
| Full Name | MR. BURTON DAVID GOTTLIEB |
| Credential | MA LMSW |
| Practice Address |
28000 Dequindre Rd Warren MI 48092-2468 |
| Mailing Address |
1626 Maplewood St Sylvan Lake MI 48320-1737 |
| Practice Telephone | 5867531028 |
| Mailing Telephone | 2589417800 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801060468 | MI | Behavioral Health & Social Service Providers |
| Street Address |
28000 DEQUINDRE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48092-2468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740206168 | Lily Ann Marie Tencza | Psychiatry & Neurology | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2006-07-15 |
| 1598255788 | Vicki Sharma | Student in an Organized Health Care Education/Training Program | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2018-05-14 |
| 1477967446 | St. John Providence Health System | General Acute Care Hospital | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2014-06-17 |
| 1235487257 | Allison Whiteside | Specialist/Technologist | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-08-23 |
| 1366702755 | St John Providence Partners In Care | Clinic/Center | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
| 1588924971 | Carolyn Ann Hill | Registered Nurse | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
| 1063772465 | Ruth Anne Didonato | Registered Nurse | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
| 1477813715 | Linda A Caldwell | Registered Nurse | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
| 1346511383 | St. John Providence | General Acute Care Hospital | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-01-23 |
| 1760708945 | St John Hospital and Medical Center | Audiologist | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2010-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| 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 |
|---|---|---|---|---|
| 1679188924 | Amanda Rubio | Social Worker | 20 Brownell St, Warren, RI 02885-1525 | 2020-09-14 |
| 1265069082 | Tellecia Nasha Wiggins | Social Worker | 13807 Martin Rd, Warren, MI 48088-6325 | 2020-03-23 |
| 1528541984 | Undercurrent Behavioral Health LLC | Social Worker | 12500 E 13 Mile Rd, Warren, MI 48093-5011 | 2018-09-12 |
| 1770071201 | Tacara Lakaisha Woods | Social Worker | 23543 Bolam Ave, Warren, MI 48089-2232 | 2018-04-30 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1740790625 | Steven Potje | Social Worker | 7177 Miller Dr Ste C, Warren, MI 48092-1699 | 2017-10-05 |
| 1225554082 | Michigan Adult Services 1 | Social Worker | 28673 Hoover Rd, Warren, MI 48093-4105 | 2017-08-14 |
| 1437675220 | Rana Shaia | Social Worker | 12200 E 13 Mile Rd # 200, Warren, MI 48093-3093 | 2017-08-14 |
| 1982134052 | Connell Joseph Rooney | Social Worker | 8 Angus Ln, Warren, NJ 07059-6739 | 2017-06-12 |
| 1972030278 | Elizabeth Ann Oaks | Social Worker | 8600 E Market St Ste 8, Warren, OH 44484-2375 | 2017-05-17 |
| Find all providers in WARREN | ||||
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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.