Individual provider Active NPI

James A Caris, LMSW

  • Clinical Social Worker
  • Bay City, MI
National Provider Identifier
1114066339
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5789-C Issued in NV
Practice address
114 N Tuscola Rd
Bay City, MI 48708-6995
Phone
(989) 895-0788
Fax
(989) 895-0799
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 5789-C NV Primary

Addresses

Primary practice location

114 N Tuscola Rd
Bay City, MI 48708-6995

Mailing address

3920 N Hartford Dr
Saginaw, MI 48603-7224
Phone (702) 355-9183

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
I20080211000043 MI Practitioner - Clinical Social Worker 7012090319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Psychological and Neurobehavioral Services LLCGroup PAC ID 5799728457, 4 clinicians

Practice addresses (Care Compare)

114 N Tuscola Rd
Bay City, MI 48708-6995
Phone (989) 895-0788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Psychological & Neurobehavioral Services, LLC CurrentSince Jun 12, 2017 Accepting new patients
Westlund Guidance Clinic Past Accepting new patients
Westlund Guidance Clinic Clinical PastSince Feb 13, 2022 Accepting new patients

Locations

114 N Tuscola Rd
Bay City, MI 48708
Phone (989) 778-1213

204 W Buttles St
Midland, MI 48640

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114066339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 N HARTFORD DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486037224",
            "telephone_number": "702-355-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N TUSCOLA RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086995",
            "telephone_number": "989-895-0788",
            "fax_number": "989-895-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIS",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5789-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.