Individual provider Active NPI

Carlee Rae Giordano, MSW, LMSW-C

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1104422567
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801117854 Issued in MI
Practice address
238 Hoover Blvd Ste 30
Holland, MI 49423-3782
Phone
(616) 312-2989
Fax
(616) 294-4202
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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 6801117854 MI Primary

Addresses

Primary practice location

238 Hoover Blvd Ste 30
Holland, MI 49423-3782

Mailing address

238 Hoover Blvd Ste 30
Holland, MI 49423-3782
Phone (616) 312-2989

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
I20240327003541 MI Practitioner - Clinical Social Worker 4385081280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emhpe Michigan PLLCGroup PAC ID 4082088588, 8 clinicians

Practice addresses (Care Compare)

600 S Beacon Blvd
Suite D
Grand Haven, MI 49417-2178
Phone (616) 691-6764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1104422567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 HOOVER BLVD STE 30",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233782",
            "telephone_number": "616-312-2989",
            "fax_number": "616-294-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 HOOVER BLVD STE 30",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233782",
            "telephone_number": "616-312-2989",
            "fax_number": "616-294-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIORDANO",
        "first_name": "CARLEE",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "MSW, LMSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.