Kristen P Provost (NPI# 1679002489, PAC ID# 2264760990) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1679002489 |
| PAC ID by PECOS | 2264760990 |
| Professional Enrollment ID | I20190820001136 |
| Full Name | Kristen P Provost |
| Organization Legal Name | COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN |
| Address |
655 E Cedar Ave Gladwin MI 48624-2215 |
| Phone Number | 9894269295 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4688660533 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 655 E Cedar Ave, Gladwin, MI 48624-2215 | 9894269295 | COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN |
| Organization Legal Name | COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie L Most | Clinical Social Worker | Community Mental Health for Central Michigan | 789 N Clare Ave, Po Box 817, Harrison, MI 48825-9194 |
| Della L Wade | Clinical Social Worker | Community Mental Health for Central Michigan | 218 Fast Ice Dr, Midland, MI 48642-6167 |
| Natasha A Bancroft | Clinical Social Worker | Community Mental Health for Central Michigan | 500 S 3rd Ave, Big Rapids, MI 49307-9501 |
| Louis T Joseph | Psychiatry | Community Mental Health for Central Michigan | 301 S Crapo St, Suite 200, Mt Pleasant, MI 48858-2941 |
| Kathleen R Hornacek-ross | Clinical Social Worker | Community Mental Health for Central Michigan | 4473 220th Ave, Po Box 32, Reed City, MI 49677-8593 |
| Jill L Freeland | Clinical Social Worker | Community Mental Health for Central Michigan | 655 E Cedar Ave, Gladwin, MI 48624-2215 |
| Angela L Pinheiro | Psychiatry | Community Mental Health for Central Michigan | 301 S Crapo St, Suite 200, Mt Pleasant, MI 48858-2941 |
| Mary F Diepstra | Clinical Social Worker | Community Mental Health for Central Michigan | 655 E Cedar Ave, Gladwin, MI 48624-2215 |
| Katlin M Kring | Clinical Social Worker | Community Mental Health for Central Michigan | 218 Fast Ice Dr, Midland, MI 48642-6167 |
| Victor Vasquez | Psychiatry | Community Mental Health for Central Michigan | 301 S Crapo St, Suite 200, Mt Pleasant, MI 48858-2941 |
| Street Address |
655 E CEDAR AVE |
| City | GLADWIN |
| State | MI |
| Zip | 48624-2215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill L Freeland | Clinical Social Worker | Community Mental Health for Central Michigan | 655 E Cedar Ave, Gladwin, MI 48624-2215 |
| Mary F Diepstra | Clinical Social Worker | Community Mental Health for Central Michigan | 655 E Cedar Ave, Gladwin, MI 48624-2215 |
| Jordyn E Mccormick | Clinical Social Worker | Community Mental Health for Central Michigan | 655 E Cedar Ave, Gladwin, MI 48624-2215 |
| Margaret D Jamrog | Clinical Social Worker | Community Mental Health for Central Michigan | 655 E Cedar Ave, Gladwin, MI 48624-2215 |
| Deborah Kay Bauman | Clinical Social Worker | Community Mental Health for Central Michigan | 655 E Cedar Ave, Gladwin, MI 48624-2215 |
| Sarah A Smoes | Physician Assistant | Community Mental Health for Central Michigan | 655 E Cedar Ave, Gladwin, MI 48624-2215 |
| Cathleen M Todd | Clinical Social Worker | Community Mental Health for Central Michigan | 655 E Cedar Ave, Gladwin, MI 48624-2215 |
| Barry J Ebig | Clinical Social Worker | Community Mental Health for Central Michigan | 655 E Cedar Ave, Gladwin, MI 48624-2215 |
| Beverly M Pourcho | Clinical Social Worker | Community Mental Health for Central Michigan | 655 E Cedar Ave, Gladwin, MI 48624-2215 |
| Christopher M Donzell | Nurse Practitioner | Community Mental Health for Central Michigan | 655 E Cedar Ave, Gladwin, MI 48624-2215 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet E Flynn | Nurse Practitioner | Spring Street Family Practice | 1207 N Spring St, Gladwin, MI 48624-1040 |
| Mary Bosman | Nurse Practitioner | Spring Street Family Practice | 1207 N Spring St, Gladwin, MI 48624-1040 |
| Joshua Owen Rashott | Chiropractic | My Family Chiropractor PC | 120 Commerce Ct, Gladwin, MI 48624-1220 |
| Albert Peter Sawaya | Chiropractic | My Family Chiropractor PC | 120 Commerce Ct, Gladwin, MI 48624-1220 |
| Zaid Al-rufaye | Internal Medicine | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Ben Mayne Iii | Orthopedic Surgery | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Philip A Harris | Otolaryngology | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Sergio Andres Montoya | Internal Medicine | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Daniel Louis Maxwell | Pulmonary Disease | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Jeffrey C Stone | Podiatry | 609 Quarter St, Gladwin, MI 48624-1941 | |
| Find all physicians in zip 48624 | |||
| City | GLADWIN |
| Zip Code | 48624 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | GLADWIN + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Kristen P Provost.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.