BRONSON LAKEVIEW HOSPITAL BEHAVIORAL HEALTH
NPI 1639313174
Social Worker - Clinical in Paw Paw, MI

NPI Status: Active since April 28, 2009

Contact Information

404 HAZEN ST
SUITE L3
PAW PAW, MI
ZIP 49079
Phone: (269) 657-1595
Fax: (269) 657-1534

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  • Organization
  • Social Worker
  • Clinical

About BRONSON LAKEVIEW HOSPITAL BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Bronson Lakeview Hospital Behavioral Health, a provider established in Paw Paw, Michigan operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1639313174 assigned on April 2009. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Bronson Lakeview Hospital Behavioral Health operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Bronson Lakeview Hospital Behavioral Health. The authorized official of this NPI record is Rebecca East (Svp,cfo)

NPI
1639313174
Provider Legal Name
BRONSON LAKEVIEW HOSPITAL
Other Organization Name
BRONSON LAKEVIEW HOSPITAL BEHAVIORAL HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
404 HAZEN ST SUITE L3 PAW PAW, MI 49079
Location Phone
(269) 657-1595
Location Fax
(269) 657-1534
Mailing Address
301 JOHN ST BOX 42 KALAMAZOO, MI 49007
Mailing Phone
(269) 341-7806
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-28-2009
Last Update Date
07-14-2016
Code Navigator

A clinical social worker like Bronson Lakeview Hospital Behavioral Health is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REBECCA EAST

Authorized Official Title
SVP,CFO
Authorized Official Phone
(269) 341-6000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0H010630OTHER (01)MIBCBSM
0H06012MEDICARE PIN (08)MI 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639313174
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669616114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 1 + 6 + 1 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1639313174 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861479891 EUI-DONG LEE MD
Individual
Surgery404 HAZEN ST SUITE 101
PAW PAW, MI 49079
(269) 657-4407
1104845239 PAUL STEPHEN COSTANZO PA-C
Individual
Physician Assistant (Medical)404 HAZEN ST SUITE L3
PAW PAW, MI 49079
(269) 657-1595
1043228174 PATRICK MICHAEL LYNCH R.PH.
Individual
Pharmacist404 HAZEN ST SUITE 102
PAW PAW, MI 49079
(269) 657-4701
1427161314MRS. BARBARA L THOMPSON RPH
Individual
Pharmacist404 HAZEN ST SUITE 102
PAW PAW, MI 49079
(269) 657-4701
1710090519 JENNIFER L SAMPSELL CPHT
Individual
Pharmacy Technician404 HAZEN ST SUITE 102
PAW PAW, MI 49079
(269) 657-4701
1265656086LAKEVIEW COMMUNITY HOSPITAL AUTHORITY
Organization
Surgery404 HAZEN ST SUITE 101
PAW PAW, MI 49079
(269) 657-4407
1376554881SKINNER & HANG INC
Organization
Pharmacy (Community/Retail Pharmacy)404 HAZEN ST SUITE 102
PAW PAW, MI 49079
(269) 657-4701
1881706273 MICHAEL KRUK MSW
Individual
Social Worker (Clinical)404 HAZEN ST SUITE L3
PAW PAW, MI 49079
(269) 657-1595
1477762441 REBECCA L THORESON M.D.
Individual
Surgery404 HAZEN ST SUITE 101
PAW PAW, MI 49079
(269) 657-4407
1578525077 PAUL MARCUS KOLON LMSW
Individual
Social Worker404 HAZEN ST
PAW PAW, MI 49079
(269) 657-1559
1134102635 JEANNE LOUISE FIELDER PA C
Individual
Physician Assistant404 HAZEN ST
PAW PAW, MI 49079
(269) 657-2550
1306829809 HUGH M SANCHEZ MD
Individual
Internal Medicine404 HAZEN ST
PAW PAW, MI 49079
(269) 657-2550
1437159597 NADEEM M MIRZA MD
Individual
Psychiatry & Neurology (Psychiatry)404 HAZEN ST SUITE 104
PAW PAW, MI 49079
(269) 657-1595

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639313174, enumerated in the NPI registry as an "organization" on April 28, 2009

The provider is located at 404 Hazen St Suite L3 Paw Paw, Mi 49079 and the phone number is (269) 657-1595

This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 28, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.