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BRONSON LAKEVIEW HOSPITAL NPI 1639313174


NPI Information

NPI: 1639313174
Provider Name: BRONSON LAKEVIEW HOSPITAL

Doing Business As: BRONSON LAKEVIEW HOSPITAL BEHAVIORAL HEALTH

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
404 HAZEN ST
SUITE L3
PAW PAW, MI
ZIP 49079
Phone: (269) 657-1595
Get Directions

BRONSON LAKEVIEW HOSPITAL is a clinical social worker in Paw Paw, 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. BRONSON LAKEVIEW HOSPITAL NPI is 1639313174. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bronson Lakeview Hospital Behavioral Health.

The provider's business location address is:

404 HAZEN ST
SUITE L3
PAW PAW, MI
ZIP 49079-040
Phone: (269) 657-1595
Fax: (269) 657-1534

The provider's authorized official is Rebecca East .
The authorized official title is Svp,cfo and has the following contact phone number (269) 341-6000.

The enumeration date for this NPI number is 4/28/2009 and was last updated on 7/14/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalNo
21041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10H010630OTHERMICHIGANBCBSM
20H06012MEDICARE PINMICHIGAN

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: 5/5/2024

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