Individual provider Active NPI

Jaquitta La'Shon McFadden

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1073149415
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801121358 Issued in MI
Practice address
2425 S Linden Rd
Flint, MI 48532-5473
Phone
(810) 399-6942
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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 6801121358 MI Primary

Addresses

Primary practice location

2425 S Linden Rd
Flint, MI 48532-5473

Mailing address

7017 Granada Dr
Flint, MI 48532-3023
Phone (810) 288-3969

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
I20260225000850 MI Practitioner - Clinical Social Worker 6608357983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2425 S Linden Rd
Suite D138
Flint, MI 48532-5482

7017 Granada Dr
Flint, MI 48532-3023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801121358MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mkaddesh Enterprises LLC CurrentSince Feb 17, 2026 Accepting new patients

Locations

2425 S Linden Rd
Ste D138
Flint, MI 48532
Phone (810) 339-6942

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1073149415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 GRANADA DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323023",
            "telephone_number": "810-288-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325473",
            "telephone_number": "810-399-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "JAQUITTA",
        "middle_name": "LA'SHON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.