Nathaniel Edison Ponder, LMSW, CCS, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801117080 Issued in MI

Practice address

50430 School House Rd
Canton, MI 48187-5910

Phone

(734) 495-1722

NPI assigned

Sep 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Growth Works, Inc

  • Addiction (Substance Use Disorder) Psychologist
  • Plymouth, MI
  • NPI 1851448146
  Medicare reassignment NPD
• Growth Works Inc.

  • Case Management Agency
  • Plymouth, MI
  • NPI 1386978385
  NPD (past)

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1033724943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50430 SCHOOL HOUSE RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875910",
            "telephone_number": "734-495-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50430 SCHOOL HOUSE RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875910",
            "telephone_number": "734-495-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONDER",
        "first_name": "NATHANIEL",
        "middle_name": "EDISON",
        "name_prefix": "Mr.",
        "credential": "LMSW, CCS, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117080",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-01605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plymouth Physical Therapy Specialists Limited Partnership
• Plymouth Senior Services LLC
• Shelley Marie Poliner, LPT
• Meghan Pollack, BCBA, LBA
• Trinity J Polley
• Maria Ponomareva
• Jessica Poole
• Susan Lynne Popek-Boeve, CTRS
• Theresa Poppe, MD
• Portable Smiles Consulting LLC

• Clinical Social Worker in Canton, MI
• Providers in Canton, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.

Verify at the official NPI Registry.