Michelle Beckman, LMSW

Key facts

NPI

1154866846

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

6801111106 (MI)

Practice address

313 S Clinton St
Grand Ledge, MI 48837-2003

Phone

(517) 925-8375

NPI assigned

Jan 4, 2017

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

Other names

• Ms. Michelle Young Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 28, 2024.

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1154866846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S CLINTON ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488372003",
            "telephone_number": "517-925-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S CLINTON ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488372003",
            "telephone_number": "517-925-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 E Jolly Rd",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489106818",
            "country_code": "US",
            "telephone_number": "517-346-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKMAN",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100434",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801111106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "YOUNG",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Grand Ledge, MI · Clinical Social Worker in Michigan