Individual provider Active NPI

Noele Grace Lucius, LLMSW

  • Clinical Social Worker
  • Midland, MI
National Provider Identifier
1043934805
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
728 W Wackerly St
Midland, MI 48640-4724
Phone
(989) 292-3572
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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 Primary

Addresses

Primary practice location

728 W Wackerly St
Midland, MI 48640-4724

Mailing address

12789 Burt Rd
Birch Run, MI 48415-9343
Phone (989) 392-3365

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
I20220930000201 MI Practitioner - Clinical Social Worker 3971989807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3600 N Saginaw Rd
Clinton County Medical Center Psych
Midland, MI 48640-2301
Phone (989) 510-7626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton County Medical Center Psychological Services PLLC CurrentSince Sep 13, 2022 Accepting new patients
Clinton County Medical Center Psychological Services PLLC Social Worker CurrentSince Sep 13, 2022 Accepting new patients

Locations

3600 N Saginaw Rd
Midland, MI 48640
Phone (989) 423-0513

1505 Waterford Pkwy
Saint Johns, MI 48879
Phone (989) 227-0710

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1043934805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12789 BURT RD",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484159343",
            "telephone_number": "989-392-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404724",
            "telephone_number": "989-292-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIUS",
        "first_name": "NOELE",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.