Provider Demographics
NPI:1013948884
Name:STEIMEL, JON JAY (ACSW)
Entity Type:Individual
Prefix:MR
First Name:JON
Middle Name:JAY
Last Name:STEIMEL
Suffix:
Gender:M
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 W SUPERIOR ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ALMA
Mailing Address - State:MI
Mailing Address - Zip Code:48801-1650
Mailing Address - Country:US
Mailing Address - Phone:989-968-4017
Mailing Address - Fax:707-676-4621
Practice Address - Street 1:116 W SUPERIOR ST
Practice Address - Street 2:SUITE 3
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801-1650
Practice Address - Country:US
Practice Address - Phone:989-968-4017
Practice Address - Fax:707-676-4621
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101005986106H00000X
MI6801012357104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1031261OtherMCCLAREN HEALTH PLAN
MI8008937450OtherBLUE CROSS BLUE SHIELD