Individual provider Active NPI

Rebecca A Gettel Prout, LMSW

  • Clinical Social Worker
  • Bay City, MI
National Provider Identifier
1043479975
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801071474 Issued in MI
Practice address
315 Center Ave Apt 403
Bay City, MI 48708-5968
Phone
(989) 670-3454
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 6801071474 MI Primary

Addresses

Primary practice location

315 Center Ave Apt 403
Bay City, MI 48708-5968

Mailing address

315 Center Ave Apt 403
Bay City, MI 48708-5968
Phone (989) 670-3454

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
I20240911004512 MI Practitioner - Clinical Social Worker 0446790802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thumb Area Psychological Services, LLCGroup PAC ID 5294964300, 5 clinicians

Practice addresses (Care Compare)

6627 Rose St
Cass City, MI 48726-1262
Phone (989) 872-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801071474MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thumb Area Psychological Services, LLC Mental Health CurrentSince Aug 14, 2024 Accepting new patients
Advantage Counseling and Educational Services, Inc. Past Accepting new patients

Locations

2762 Pigeon Rd
Bad Axe, MI 48413
Phone (989) 269-9138

6627 Rose St
Cass City, MI 48726
Phone (989) 872-1800

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1043479975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CENTER AVE APT 403",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085968",
            "telephone_number": "989-670-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CENTER AVE APT 403",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085968",
            "telephone_number": "989-670-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETTEL PROUT",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801071474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.