Small Pine Tree Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090554 Issued in MI

Legal business name

SMALL PINE TREE COUNSELING

Practice address

104 E Washington St
Marquette, MI 49855-4318

Phone

(906) 228-3092

Fax

(906) 273-1434

NPI assigned

Jan 11, 2017

Last updated

Jan 11, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jill Esterly-Jayne, LMSWNPI 1235306473

Title

Owner

Phone

(906) 228-3092

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill A Esterly-Jayne, LMSW

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1235306473
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1033655246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 S FRANCIS MINE DR",
            "city": "GWINN",
            "state": "MI",
            "postal_code": "498419077",
            "telephone_number": "906-228-3092",
            "fax_number": "906-273-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E WASHINGTON ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554318",
            "telephone_number": "906-228-3092",
            "fax_number": "906-273-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL PINE TREE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "ESTERLY-JAYNE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-228-3092",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel J Skradski
• Alyssa Marie-Schnurer Slattery, LMSW
• Danielle Slattery
• Brooke Sliva
• Patricia A Slotterback, NP
• Audrey Kathryn Smihal
• Eileen M Smit, FNP-BC
• Alicia Smith, LAC
• Carol Anne Smith, LMSW
• Cecilia Rae Smith, LLMSW

• Clinical Social Worker in Marquette, MI
• Providers in Marquette, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.