Sandra Pumphrey, M.S.W.
Individual provider Active NPI Clinical Social Worker · Sault Sainte Marie, MI
NPI 1104914290 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104914290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SP046184 (MI)
- Practice address
- 3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286 - Phone
- (906) 632-2805
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP046184 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weber and Devers Psychological Services, P.C. | Clinical | Past |
Accepting new patients |
| Hiawatha Community Mental Health Authority | Past | Accepting new patients | |
| Hiawatha Community Mental Health Authority | Past | Accepting new patients | |
| Hiawatha Community Behavioral Health Authority | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SP046184 | MI | Yes |
Addresses
Primary practice location
3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286
Mailing address
3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7509104110 | Other | MI | BCBS |
Other providers in Sault Sainte Marie, MI
- Tina M Pountney
- Marilyn Pramstaller
- Sandra Preston
- Haleigh Proctor-Allen
- Jenna K Pulver
- Jacqueline Leah Purcell
- Kristen Marie Raabis
- Rainbow'S End Counseling Center
- Jennifer Randazzo
- Brenda Ransom
All providers in Sault Sainte Marie, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.