Organization Active NPI

Millie a. Paterson, PLLC

  • Clinical Social Worker
  • Sandusky, MI
National Provider Identifier
1063821650
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801059994 Issued in MI
Legal business name
MILLIE A. PATERSON, PLLC
Practice address
119 E Sanilac Rd
Suite 8
Sandusky, MI 48471-1184
Phone
(810) 689-4760
Fax
(810) 958-1295
NPI assigned
Aug 7, 2014
Last updated
Aug 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Millie A Paterson, LMSW, CAADC, MBANPI 1861570194
Title
Owner
Phone
(810) 689-4760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801059994 MI Primary

Addresses

Primary practice location

119 E Sanilac Rd
Suite 8
Sandusky, MI 48471-1184

Mailing address

3317 Blue Water Dr
Burtchville, MI 48059-2505
Phone (810) 689-4760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141217001373 MI Part B Supplier - Clinic/Group Practice 2264755560 Receives reassigned benefits from 2 practitioners
Practice locations: Lexington, MI; Sandusky, MI

National Provider Directory

National Provider Directory

Locations

5730 Main St
Ofc
Lexington, MI 48450
Phone (810) 689-4760

119 E Sanilac Rd
Ste 8
Sandusky, MI 48471
Phone (810) 689-4760

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1063821650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 BLUE WATER DR",
            "city": "BURTCHVILLE",
            "state": "MI",
            "postal_code": "480592505",
            "telephone_number": "810-689-4760",
            "fax_number": "810-958-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E SANILAC RD",
            "address_2": "SUITE 8",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711184",
            "telephone_number": "810-689-4760",
            "fax_number": "810-958-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLIE A. PATERSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "PATERSON",
        "authorized_official_first_name": "MILLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-689-4760",
        "authorized_official_credential": "LMSW, CAADC, MBA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.