Individual provider Active NPI

Daniel Webster Christian Wood, LMSW

  • Clinical Social Worker
  • Jackson, MI
National Provider Identifier
1083004147
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801107695 Issued in MI
Practice address
2575 Spring Arbor Rd Ste 300
Jackson, MI 49203-3652
Phone
(734) 657-7343
NPI assigned
Jan 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801096445 MI
Clinical Social Worker 1041C0700X 6801107695 MI Primary

Addresses

Primary practice location

2575 Spring Arbor Rd Ste 300
Jackson, MI 49203-3652

Mailing address

2575 Spring Arbor Rd Ste 300
Jackson, MI 49203-3652
Phone (734) 657-7343

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
I20190329001075 MI Practitioner - Clinical Social Worker 7719227784 Practice locations: Jackson, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2575 Spring Arbor Rd
Suite 300
Jackson, MI 49203-3652
Phone (517) 788-8330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
6801096445MIMDClinical Social Worker
6801107695MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1083004147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 SPRING ARBOR RD STE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033652",
            "telephone_number": "734-657-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 SPRING ARBOR RD STE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033652",
            "telephone_number": "734-657-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DANIEL",
        "middle_name": "WEBSTER CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-28",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096445",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.