Individual provider Active NPI

Sheyenne Kay Cole, LMSW

  • Clinical Social Worker
  • Norton Shores, MI
National Provider Identifier
1063000628
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093463 Issued in MI
Practice address
560 Seminole Rd
Norton Shores, MI 49444-3720
Phone
(231) 733-3539
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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 6801093463 MI Primary

Addresses

Primary practice location

560 Seminole Rd
Norton Shores, MI 49444-3720

Mailing address

2285 Huether Ave
Muskegon, MI 49445-2329
Phone (231) 855-2079

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
I20210209002336 MI Practitioner - Clinical Social Worker 1153736921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Resources of West MichiganGroup PAC ID 7315245222, 7 clinicians

Practice addresses (Care Compare)

560 Seminole Rd
Norton Shores, MI 49444-3720
Phone (231) 798-5858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801093463MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Resources of West Michigan CurrentSince Jan 8, 2021 Accepting new patients
Senior Resources of West Michigan CurrentSince Jan 8, 2021 Accepting new patients

Locations

560 Seminole Rd
Norton Shores, MI 49444
Phone (231) 733-8686

Interoperability endpoints

  • Direct secure messaging: sheyenne.cole@sr.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGGFDD/Endpoint/GGGFDD
  • FHIR API: https://api.platform.athenahealth.com/20787/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGGFDD

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": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1063000628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 HUETHER AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494452329",
            "telephone_number": "231-855-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SEMINOLE RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443720",
            "telephone_number": "231-733-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "SHEYENNE",
        "middle_name": "KAY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

Verify at the official NPI Registry.