EZRA TARGARYEN-DILLANDER
NPI 1376499475
Case Manager/Care Coordinator in Mount Clemens, MI

Q: What is Ezra Targaryen-dillander's NPI number?

The NPI number for Ezra Targaryen-dillander is 1376499475. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Q: What is Ezra Targaryen-dillander's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since March 10, 2026

175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043(616) 301-8000 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2026, Mar 10, 2026 (2 updates tracked since 2026).

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About Ezra Targaryen-dillander NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EZRA TARGARYEN-DILLANDER (NPI 1376499475) is an individual case manager/care coordinator provider in Mount Clemens, Michigan and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1376499475

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameEZRA TARGARYEN-DILLANDER

Location Address175 N GROESBECK HWYMount Clemens, MI 48043-1562

Mailing Address175 N Groesbeck HwyMount Clemens, MI 48043-1562 · (616) 301-8000

Phone(616) 301-8000

Sole ProprietorNo

Enumeration DateMarch 10, 2026

Last NPPES UpdateMarch 20, 20262 updates tracked since enumeration

NPPES CertifiedMarch 20, 2026

✔ NPI 1376499475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

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's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

175 N GROESBECK HWY, Mount Clemens, MI 48043

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SABRINA PRINCIPE

Case Manager/Care Coordinator