Individual provider Active NPI

Carla Van Roy

  • Clinical Social Worker
  • Negaunee, MI
National Provider Identifier
1104545706
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851115517 Issued in MI
Practice address
100 Malton Rd Ste 7
Negaunee, MI 49866-2002
Phone
(906) 485-2347
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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 6851115517 MI Primary

Addresses

Primary practice location

100 Malton Rd Ste 7
Negaunee, MI 49866-2002

Mailing address

97 S 4TH St Ste C
Ishpeming, MI 49849-2168
Phone (906) 228-9699

Other practice location 1

220 Roosevelt St Ste 2
Ironwood, MI 49938-1737
Phone (906) 364-7506

Other practice location 2

97 S 4th St Ste A
Ishpeming, MI 49849-2168
Phone (906) 485-2347

Other practice location 3

1500 Sandpoint Rd
Munising, MI 49862-1406
Phone (906) 291-3400

Other practice location 4

920 W Water St Ste 6
Hancock, MI 49930-1950
Phone (906) 482-7710

Other practice location 5

1009 W Ridge St Ste C
Marquette, MI 49855-3997
Phone (906) 228-6545

Other practice location 6

1115 S Hemlock St Ste 1
Iron Mountain, MI 49801-3800
Phone (906) 774-2561

Other practice location 7

21 Mesnard St
Lanse, MI 49946-1127
Phone (906) 275-2046

Other practice location 8

1101 Ludington St Ste H
Escanaba, MI 49829-3565
Phone (906) 789-3528

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851115517MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Recovery Centers PastSince Feb 6, 2022 Accepting new patients
Great Lakes Recovery Centers Past Accepting new patients
Great Lakes Recovery Centers PastSince Nov 10, 2024 Accepting new patients

Organizations & group practices 3

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1104545706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 S 4TH ST STE C",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492168",
            "telephone_number": "906-228-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MALTON RD STE 7",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498662002",
            "telephone_number": "906-485-2347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Roosevelt St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ironwood",
            "state": "MI",
            "postal_code": "499381737",
            "country_code": "US",
            "telephone_number": "906-364-7506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 S 4th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Ishpeming",
            "state": "MI",
            "postal_code": "498492168",
            "country_code": "US",
            "telephone_number": "906-485-2347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Sandpoint Rd",
            "address_purpose": "LOCATION",
            "city": "Munising",
            "state": "MI",
            "postal_code": "498621406",
            "country_code": "US",
            "telephone_number": "906-291-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 W Water St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Hancock",
            "state": "MI",
            "postal_code": "499301950",
            "country_code": "US",
            "telephone_number": "906-482-7710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 W Ridge St Ste C",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498553997",
            "country_code": "US",
            "telephone_number": "906-228-6545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 S Hemlock St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Iron Mountain",
            "state": "MI",
            "postal_code": "498013800",
            "country_code": "US",
            "telephone_number": "906-774-2561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Mesnard St",
            "address_purpose": "LOCATION",
            "city": "Lanse",
            "state": "MI",
            "postal_code": "499461127",
            "country_code": "US",
            "telephone_number": "906-275-2046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Ludington St Ste H",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498293565",
            "country_code": "US",
            "telephone_number": "906-789-3528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN ROY",
        "first_name": "CARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851115517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Negaunee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.