Megan Vansickle

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801083402 Issued in MI

Practice address

2559 Union Lake Rd
Commerce Township, MI 48382-3555

Phone

(248) 404-8555

NPI assigned

Oct 1, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Moxie Counseling Center of Michigan

  • Social Worker
  • Commerce Township, MI
  • NPI 1619776887
  NPD Authorized official

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1164240990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 UNION LAKE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823555",
            "telephone_number": "248-404-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 UNION LAKE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823555",
            "telephone_number": "248-404-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSICKLE",
        "first_name": "MEGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801083402",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Union Lake Medical Center PC
• Debra Mary Van Ort, D.O.
• Jodi Lynn Van Proeyen
• Amanda Song Hee Vandenbusch, MA, LLPC
• Cassandra Vann, PHARMD
• Cassaundra Vaughn, LPC
• Bo Jay Vechazone, PT
• Deborah Sue Vendittelli, NP
• Mike Venia, CRNA
• VHS Huron Valley-Sinai Hospital Inc

• Clinical Social Worker in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.