Active NPI
Nancy Suzan Farison, LMSW ACSW
- Clinical Social Worker
- Midland, MI
National Provider Identifier
1053475319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 314 W Wackerly St
Suite C
Midland, MI 48640-2766 - Phone
- (989) 832-1978
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MI | Primary |
Addresses
Primary practice location
314 W Wackerly St
Suite C
Midland, MI 48640-2766
Mailing address
2549 E Freeland Rd
Freeland, MI 48623-9420
Phone (989) 430-0608
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080425000018 | MI | Practitioner - Clinical Social Worker | 1254419617 | Practice locations: Freeland, MI |
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": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1053475319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2549 E FREELAND RD",
"city": "FREELAND",
"state": "MI",
"postal_code": "486239420",
"telephone_number": "989-430-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 W WACKERLY ST",
"address_2": "SUITE C",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402766",
"telephone_number": "989-832-1978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARISON",
"first_name": "NANCY",
"middle_name": "SUZAN",
"name_prefix": "Ms.",
"credential": "LMSW ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.