Individual provider Active NPI

Cathleen Ann Stinson, LMSW

  • Clinical Social Worker
  • Caro, MI
National Provider Identifier
1013279223
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094110 Issued in MI
Practice address
651 N State St
Caro, MI 48723-1543
Phone
(989) 673-5700
Fax
(989) 672-2555
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801094110 MI Primary

Addresses

Primary practice location

651 N State St
Caro, MI 48723-1543

Mailing address

443 N State St
Caro, MI 48723-1539
Phone (989) 672-6160

Other identifiers 2

IdentifierTypeStateIssuer
750917840OtherMIBCBS
7509107840OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000460 MI Practitioner - Clinical Social Worker 8224284716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
List Psychological Services, PLCGroup PAC ID 6709799323, 28 clinicians

Practice addresses (Care Compare)

7484 W Michigan Ave
Suite C
Pigeon, MI 48755-5200
Phone (989) 453-3051

Merit-based Incentive Payment System (MIPS)

Final score
41.32 of 100Reported as group
Quality
20
Improvement activities
0
Cost
84.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
List Psychological Services, PLC Clinical CurrentSince Jun 11, 2012 Accepting new patients
List Psychological Services, PLC Clinical Current Accepting new patients

Locations

110 E Huron Ave
Bad Axe, MI 48413
Phone (989) 269-7666

126 Washington Ave
Bay City, MI 48708
Phone (989) 684-7977

443 N State St
Caro, MI 48723
Phone (989) 672-6160

651 N State St
Caro, MI 48723
Phone (989) 672-6160

467 N State St
Caro, MI 48723
Phone (989) 672-6160

350 N Court St
Ste 205
Lapeer, MI 48446
Phone (810) 667-4500

624 W Nepessing St
Ste 300
Lapeer, MI 48446
Phone (810) 667-4500

5024 N Center Rd
Saginaw, MI 48604
Phone (989) 672-6160

33 W Sanilac Rd
Sandusky, MI 48471
Phone (810) 648-0668

Interoperability endpoints

  • Direct secure messaging: listpsychologicalservices.cathleenstinson@130916.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1013279223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231539",
            "telephone_number": "989-672-6160",
            "fax_number": "989-672-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231543",
            "telephone_number": "989-673-5700",
            "fax_number": "989-672-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON",
        "first_name": "CATHLEEN",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "750917840",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7509107840",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

Verify at the official NPI Registry.