Individual provider Active NPI

Sabrina Loven-Gulick, LMSW

  • Clinical Social Worker
  • Houghton, MI
National Provider Identifier
1063921252
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801117213 Issued in MI
Practice address
901 W Mem Dr
Houghton, MI 49931-2475
Phone
(906) 483-5531
NPI assigned
Sep 20, 2017
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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 6801117213 MI Primary

Addresses

Primary practice location

901 W Mem Dr
Houghton, MI 49931-2475

Mailing address

901 W Mem Dr
Houghton, MI 49931-2475

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
I20231027002023 MI Practitioner - Clinical Social Worker 2365898392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unite UpGroup PAC ID 2668877531, 4 clinicians

Practice addresses (Care Compare)

1014 College Ave
Houghton, MI 49931-1823
Phone (904) 861-8233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801117213MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unite Up Social Worker CurrentSince Oct 16, 2023 Accepting new patients

Locations

1014 College Ave
Houghton, MI 49931
Phone (906) 482-6800

1014 College Ave
Ofc
Houghton, MI 49931
Phone (904) 861-8233

Organizations & group practices 1

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": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1063921252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MEM DR",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499312475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MEM DR",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499312475",
            "telephone_number": "906-483-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVEN-GULICK",
        "first_name": "SABRINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton, MI

Sources for this page

Verify at the official NPI Registry.