Individual provider Active NPI

Janet Lynn Woodcock, MSW LMSW ACSW

  • Clinical Social Worker
  • Saint Johns, MI
National Provider Identifier
1093810400
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801034177 Issued in MI
Practice address
120 E Walker Street
St Johns Counseling & Therapy Services PC Suite B
St Johns, MI 48879
Phone
(989) 227-9000
Fax
(989) 224-0058
NPI assigned
Sep 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801034177 MI Primary

Addresses

Primary practice location

120 E Walker Street
St Johns Counseling & Therapy Services PC Suite B
St Johns, MI 48879

Mailing address

120 E Walker Street
Suite B
St Johns, MI 48879
Phone (989) 227-9000

Other identifiers 4

IdentifierTypeStateIssuer
108548OtherBLUE CARE NETWORK
7014234OtherAETNA
1002205OtherMCLAREN
8008971270OtherBLUE CROSS BLUE SHIELD

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
I20090915000689 MI Practitioner - Clinical Social Worker 6507912664 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801034177MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Solutions Counseling Clinical CurrentSince Jul 18, 2009 Accepting new patients
St. Johns Counseling and Therapy Services, P.C. Past Accepting new patients

Locations

218 S Washington St
Mt Pleasant, MI 48858
Phone (989) 330-2800

Organizations & group practices 2

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093810400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E WALKER STREET",
            "address_2": "SUITE B",
            "city": "ST JOHNS",
            "state": "MI",
            "postal_code": "48879",
            "telephone_number": "989-227-9000",
            "fax_number": "989-224-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E WALKER STREET",
            "address_2": "ST JOHNS COUNSELING & THERAPY SERVICES PC SUITE B",
            "city": "ST JOHNS",
            "state": "MI",
            "postal_code": "48879",
            "telephone_number": "989-227-9000",
            "fax_number": "989-224-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODCOCK",
        "first_name": "JANET",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MSW LMSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801034177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "108548",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7014234",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1002205",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8008971270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

Verify at the official NPI Registry.