Individual provider Active NPI

Emily Pantlind, MSW

  • Social Worker
  • Grand Haven, MI
National Provider Identifier
1093972416
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801089906 Issued in MI
Practice address
321 Fulton St
Grand Haven, MI 49417-1231
Phone
(616) 842-4772
Fax
(616) 842-5575
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801089906 MI Primary

Addresses

Primary practice location

321 Fulton St
Grand Haven, MI 49417-1231

Mailing address

321 Fulton St
Grand Haven, MI 49417-1231
Phone (616) 842-4772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801089906MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1093972416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 FULTON ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171231",
            "telephone_number": "616-842-4772",
            "fax_number": "616-842-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 FULTON ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171231",
            "telephone_number": "616-842-4772",
            "fax_number": "616-842-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTLIND",
        "first_name": "EMILY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801089906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.