Active NPI
Eric Read, LMSW
- Clinical Social Worker
- Bad Axe, MI
National Provider Identifier
1033460829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801095442
- Practice address
- 1375 R Dale Wertz Dr
Bad Axe, MI 48413-1365 - Phone
- (989) 269-9293
- Fax
- (989) 269-7544
- NPI assigned
- Sep 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 6801095442 | MI | Primary |
Addresses
Primary practice location
1375 R Dale Wertz Dr
Bad Axe, MI 48413-1365
Mailing address
1375 R Dale Wertz Dr
Bad Axe, MI 48413-1365
Phone (989) 269-9293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1033460829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 R DALE WERTZ DR",
"city": "BAD AXE",
"state": "MI",
"postal_code": "484131365",
"telephone_number": "989-269-9293",
"fax_number": "989-269-7544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 R DALE WERTZ DR",
"city": "BAD AXE",
"state": "MI",
"postal_code": "484131365",
"telephone_number": "989-269-9293",
"fax_number": "989-269-7544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "READ",
"first_name": "ERIC",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-20",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801095442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bad Axe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.