Eastside Counseling and Consulting, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801015769 Issued in MI

Legal business name

EASTSIDE COUNSELING AND CONSULTING, INC.

Practice address

209 Merriweather Rd
Grosse Pointe Farms, MI 48236-3533

Phone

(313) 516-3998

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Randall Fielder Vorhees, MSWNPI 1699927442

Title

Social Worker

Phone

(313) 516-3998

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Fielder Vorhees, LSMSW

  • Clinical Social Worker
  • Grosse Pointe Farms, MI
  • NPI 1699927442
  NPD (past) Authorized official

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223164800000",
    "number": "1891961116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MERRIWEATHER RD",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363533",
            "telephone_number": "313-516-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MERRIWEATHER RD",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363533",
            "telephone_number": "313-516-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE COUNSELING AND CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-10-05",
        "status": "A",
        "authorized_official_last_name": "VORHEES",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "FIELDER",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "313-516-3998",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801015769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0892961",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael James Dionne, M.D.
• Jonathan Doellner
• Emily Lyn Dreshaj, DPT
• Gloria Ilene Durocher, L.M.S.W.
• Hayley Dymond
• Ciara L Eatmon, NP
• Raleigh D Eckert, PA, MSPH
• Debra E Evola, P.A.-C.
• Extraordinary Minds Therapy Practice, PLLC
• Maha Fakherddine, MD

• Clinical Social Worker in Grosse Pointe Farms, MI
• Providers in Grosse Pointe Farms, 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 Oct 5, 2008; 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.