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COMMUNITY AIDS RESOURCE AND EDUCATION SERVICES OF SOUTHWEST MICHIGAN NPI 1851590855


NPI Information

NPI: 1851590855
Provider Name: COMMUNITY AIDS RESOURCE AND EDUCATION SERVICES OF SOUTHWEST MICHIGAN

Doing Business As: PIONEER WELLNESS NETWORK

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 23D2171841

Address:
629 PIONEER ST
KALAMAZOO, MI
ZIP 49008
Phone: (269) 381-2437
Get Directions

COMMUNITY AIDS RESOURCE AND EDUCATION SERVICES OF SOUTHWEST MICHIGAN is a clinical social worker in Kalamazoo, MI. The provider is 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. COMMUNITY AIDS RESOURCE AND EDUCATION SERVICES OF SOUTHWEST MICHIGAN NPI is 1851590855. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pioneer Wellness Network.

The provider's business location address is:

629 PIONEER ST
KALAMAZOO, MI
ZIP 49008-860
Phone: (269) 381-2437
Fax: (269) 381-4050

The provider's authorized official is Kelly A Doyle .
The authorized official title is Ceo and has the following contact phone number (269) 381-2437.

The CLIA number assigned to this NPI record is 23D2171841 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/11/2007 and was last updated on 3/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
21041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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