Individual provider Active NPI

Nancy Suzan Farison, LMSW ACSW

  • Clinical Social Worker
  • Midland, MI
National Provider Identifier
1053475319
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Mar 19, 2008

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.