Doctor Name: | MRS. JESSICA RENEE KONKOLESKY |
NPI Number: | 1639206345 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LBSW |
License Number: | 886323 |
Business Practice Address: | 3701 E 13 Mile Rd Ste B Warren, MI - 480923795 |
Business Phone Number: | 5862740200 |
Business Fax Number: | 5862740228 |
Mailing Address: | 27 4th St, MOUNT CLEMENS |
State: | MI |
Postal Code: | 480432516 |
Phone Number: | 5869541028 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171M00000X |
License Number: | 886323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Case Manager/Care Coordinator |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee |