Individual provider Active NPI

Erica Beitel, LLMSW

  • Clinical Social Worker
  • Wyoming, MI
National Provider Identifier
1124664917
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801109237 Issued in MI
Practice address
280 60TH St SE
Wyoming, MI 49548-8504
Phone
(616) 483-0750
NPI assigned
Nov 27, 2019
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801102581 MI
Clinical Social Worker 1041C0700X 6801109237 MI Primary

Addresses

Primary practice location

280 60TH St SE
Wyoming, MI 49548-8504

Mailing address

280 60TH St SE Ste 200
Wyoming, MI 49548-8504
Phone (616) 483-0750

Other names 1

  • Erica Upman Former name

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
6801102581MIMDClinical Social Worker
6801109237MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emmanuel Hospice PastSince Jun 15, 2021 Accepting new patients
Catherine's Health Center PastSince Oct 29, 2023 Accepting new patients
Emmanuel Hospice PastSince Apr 20, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1124664917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 60TH ST SE STE 200",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495488504",
            "telephone_number": "616-483-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 60TH ST SE",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495488504",
            "telephone_number": "616-483-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITEL",
        "first_name": "ERICA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801102581",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "UPMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.