Individual provider Active NPI

James Stickle, LMSW

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1063564763
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801017842 Issued in MI
Practice address
2806 Davenport Ave
Saginaw, MI 48602-3734
Phone
(989) 790-7500
NPI assigned
Jan 16, 2007
Last updated
Jan 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801017842 MI
Clinical Social Worker 1041C0700X 6801017842 MI Primary

Addresses

Primary practice location

2806 Davenport Ave
Saginaw, MI 48602-3734

Mailing address

2806 Davenport Avenue
Saginaw, MI 48603-3734
Phone (989) 791-2455

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
I20101210000634 MI Practitioner - Clinical Social Worker 8527255900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Child and Family Service of Saginaw CountyGroup PAC ID 3173627833, 10 clinicians

Practice addresses (Care Compare)

2838 Automotive Ctr
Saginaw, MI 48603-1220
Phone (989) 790-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Service of Saginaw County Clinical CurrentSince Aug 9, 2001 Accepting new patients
Child and Family Service of Saginaw County PastSince May 8, 2022 Accepting new patients

Locations

2806 Davenport Ave
Saginaw, MI 48602
Phone (989) 393-4242

2838 Automotive Ctr
Saginaw, MI 48603
Phone (989) 393-4242

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1063564763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 DAVENPORT AVENUE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033734",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 DAVENPORT AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023734",
            "telephone_number": "989-790-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKLE",
        "first_name": "JAMES",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801017842",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801017842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.