Active NPI
Ronald B. Penfield, MSW
- Social Worker
- East Lansing, MI
National Provider Identifier
1023161064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801004048
- Practice address
- 4990 Northwind Dr
Suite 240
East Lansing, MI 48823-5090 - Phone
- (517) 853-2992
- Fax
- (517) 853-2993
- NPI assigned
- Jan 22, 2007
- Last updated
- Nov 4, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801004048 | MI | Primary |
Addresses
Primary practice location
4990 Northwind Dr
Suite 240
East Lansing, MI 48823-5090
Mailing address
913 W Holmes Rd
Ste 143
Lansing, MI 48910-0435
Phone (517) 853-2992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8008940080 | Other | MI | INDIVIDUAL BCBS PIN # |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 E Saginaw St
Suite 1
Lansing, MI 48912-2326
Phone (517) 667-0061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Lansing, MI
- NPI 1114367380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509753600000",
"number": "1023161064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 W HOLMES RD",
"address_2": "STE 143",
"city": "LANSING",
"state": "MI",
"postal_code": "489100435",
"telephone_number": "517-853-2992",
"fax_number": "517-853-2993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4990 NORTHWIND DR",
"address_2": "SUITE 240",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488235090",
"telephone_number": "517-853-2992",
"fax_number": "517-853-2993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENFIELD",
"first_name": "RONALD",
"middle_name": "B.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2017-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801004048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL BCBS PIN #",
"identifier": "8008940080",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.