Individual provider Active NPI

Alyss Salas, LMSW

  • Clinical Social Worker
  • Three Rivers, MI
National Provider Identifier
1154049575
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801112216 Issued in MI
Practice address
1519 N Main St Ste C
Three Rivers, MI 49093-1377
Phone
(269) 273-2024
Fax
(269) 273-3191
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 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 6801112216 MI Primary

Addresses

Primary practice location

1519 N Main St Ste C
Three Rivers, MI 49093-1377

Mailing address

1519 N Main St Ste C
Three Rivers, MI 49093-1377
Phone (269) 273-2024

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
I20220907001190 MI Practitioner - Clinical Social Worker 9830573062 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Wellness Center LLC CurrentSince Aug 22, 2022 Accepting new patients
Christopher L. Barnes, PLLC CurrentSince Aug 22, 2022 Accepting new patients

Locations

1519 N Main St
Ste C
Three Rivers, MI 49093
Phone (269) 273-2024

1519 N Main St
Three Rivers, MI 49093
Phone (269) 273-2024

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1154049575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 N MAIN ST STE C",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490931377",
            "telephone_number": "269-273-2024",
            "fax_number": "269-273-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 N MAIN ST STE C",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490931377",
            "telephone_number": "269-273-2024",
            "fax_number": "269-273-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "ALYSS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801112216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Three Rivers, MI

Sources for this page

Verify at the official NPI Registry.