Individual provider Active NPI

Patrick John Murphy, LMSW

  • Clinical Social Worker
  • Niles, MI
National Provider Identifier
1134558141
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095934 Issued in MI
Practice address
210 E Main St Ste 71
Niles, MI 49120-2376
Phone
(269) 340-2770
NPI assigned
Nov 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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 6801095934 MI Primary

Addresses

Primary practice location

210 E Main St Ste 71
Niles, MI 49120-2376

Mailing address

210 E Main St Ste 71
Niles, MI 49120-2376
Phone (269) 340-2770

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
I20180614000890 MI Practitioner - Clinical Social Worker 2961757026 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801095934MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Calm Lake Counseling, PLLC CurrentSince Nov 17, 2025 Accepting new patients
Innovative Senior Care Home Health of Holland LLC Past Accepting new patients
Psychiatric and Psychological Specialties PastSince May 14, 2023 Accepting new patients
Axon Psychology Group, PC PastSince Dec 13, 2020 Accepting new patients

Locations

210 E Main St
Unit 71
Niles, MI 49120
Phone (269) 340-2770

Organizations & group practices 4

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": "1384128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1134558141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E MAIN ST STE 71",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202376",
            "telephone_number": "269-340-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E MAIN ST STE 71",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202376",
            "telephone_number": "269-340-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-11",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

Verify at the official NPI Registry.