MR. MANNY ISIAH PENNELL (NPI# 1992339766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992339766 |
| Entity Type | Individual |
| Full Name | MR. MANNY ISIAH PENNELL |
| Practice Address |
950 W Monroe St Ste 600 Jackson MI 49202-2173 |
| Practice Telephone | 5179455632 |
| Mailing Telephone | 5179455632 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
950 W MONROE ST STE 600 |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-2173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932594496 | Heather Stiltner | Counselor | 950 W Monroe St Ste 600, Jackson, MI 49202-2173 | 2015-04-01 |
| 1053918391 | Neva Jean Wenman | Case Manager/Care Coordinator | 950 W Monroe St Ste 600, Jackson, MI 49202-2173 | 2020-10-08 |
| 1073136461 | Hope Raine Longenbarger | Social Worker | 950 W Monroe St Ste 600, Jackson, MI 49202-2083 | 2020-05-20 |
| 1679104418 | Rebeccca Reska | Social Worker | 950 W Monroe St Ste 600, Jackson, MI 49202-2083 | 2020-01-30 |
| 1265063325 | Stacey Lynn Smith | Case Manager/Care Coordinator | 950 W Monroe St Ste 600, Jackson, MI 49202-2173 | 2020-01-28 |
| 1942860929 | Levi Christian Lund | Behavior Technician | 950 W Monroe St Ste 600, Jackson, MI 49202-2083 | 2019-06-20 |
| 1659930238 | Renee Nelson | Case Manager/Care Coordinator | 950 W Monroe St Ste 600, Jackson, MI 49202-2173 | 2019-06-07 |
| 1114583705 | Joan Lewis | Case Manager/Care Coordinator | 950 W Monroe St Ste 600, Jackson, MI 49202 | 2019-05-20 |
| 1922598945 | Meghan Renee Parsons | Social Worker | 950 W Monroe St Ste 600, Jackson, MI 49202-2173 | 2018-05-15 |
| 1558867275 | Annette Swart | Social Worker | 950 W Monroe St Ste 600, Jackson, MI 49202-2173 | 2018-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023644135 | Leslie Sue Krantz | Case Manager/Care Coordinator | 8431 Oakpoint Dr, Jackson, MI 49201-9229 | 2020-03-20 |
| 1669008405 | Alt Best Practices Bhom2, LLC | Case Manager/Care Coordinator | 81 Crooked Stick Rd, Jackson, NJ 08527-4032 | 2020-03-12 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1336601459 | Richard Daniel Bryant | Case Manager/Care Coordinator | 950 W Monroe St Ste 600a, Jackson, MI 49202-2079 | 2019-04-05 |
| 1013478643 | Makeshia Warden | Case Manager/Care Coordinator | 655 Pine Ln, Jackson, MS 39212-3563 | 2019-03-27 |
| 1053893792 | Allison Brynne Liljestrom | Case Manager/Care Coordinator | 355 Arapahoe Ln, Jackson, WY 83001-8607 | 2018-08-29 |
| 1033691845 | Debra Ann Hathcock | Case Manager/Care Coordinator | 724 W Snow King Ave # 7825, Jackson, WY 83001-8498 | 2018-08-29 |
| 1053809053 | Natasha W Tyler | Case Manager/Care Coordinator | 5615 Brentwood Dr, Jackson, MS 39211-4233 | 2018-04-25 |
| 1245690924 | Darlene Bell | Case Manager/Care Coordinator | 546 Clydes Way, Jackson, GA 30233-1891 | 2016-02-24 |
| 1598134256 | Theodore Weber Shoaf | Case Manager/Care Coordinator | 3405 S Winding Trail Dr, Jackson, WY 83001-9257 | 2015-09-23 |
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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.