Individual provider Active NPI

Amanda Ungurean, LMSW

  • Social Worker
  • Saginaw, MI
National Provider Identifier
1134579436
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801108936 Issued in MI
Practice address
3023 Davenport Ave
Saginaw, MI 48602-3652
Phone
(989) 522-2515
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801108936 MI Primary
Other Technician 247200000X

Addresses

Primary practice location

3023 Davenport Ave
Saginaw, MI 48602-3652

Mailing address

255 Trier St
Saginaw, MI 48602-3065
Phone (989) 522-2515

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
I20210203001158 MI Practitioner - Clinical Social Worker 7315351319 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801108936MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Health Centers Federally Qualified Health Center (FQHC) CurrentSince Feb 1, 2021 Accepting new patients
Great Lakes Bay Health Centers Federally Qualified Health Center (FQHC) CurrentSince Feb 1, 2021 Accepting new patients

Locations

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

3023 Davenport Ave
Saginaw, MI 48602
Phone (989) 907-2761

Organizations & group practices 2

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1134579436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 TRIER ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023065",
            "telephone_number": "989-522-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 DAVENPORT AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023652",
            "telephone_number": "989-522-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGUREAN",
        "first_name": "AMANDA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801108936",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.