Active NPI
Restoration Therapy LLC
- Clinical Social Worker
- Traverse City, MI
National Provider Identifier
1093465585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RESTORATION THERAPY LLC
- Practice address
- 3301 Veterans Dr
Traverse City, MI 49684-4574 - Phone
- (231) 412-4842
- NPI assigned
- Mar 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheri Hadfield, LMSW
- Title
- Therapist
- Phone
- (231) 622-1690
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3301 Veterans Dr
Traverse City, MI 49684-4574
Mailing address
4150 Huntington Dr
Traverse City, MI 49686-3724
Phone (231) 622-1690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
800 Cottageview Dr
Ste 1030B
Traverse City, MI 49684
Phone (231) 412-4842
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648339200000",
"number": "1093465585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 HUNTINGTON DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863724",
"telephone_number": "231-622-1690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 VETERANS DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844574",
"telephone_number": "231-412-4842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATION THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-27",
"last_updated": "2022-03-27",
"certification_date": "2022-03-27",
"status": "A",
"authorized_official_last_name": "HADFIELD",
"authorized_official_first_name": "SHERI",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "231-622-1690",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2022; 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.