Active NPI
Arthur Joseph Cicalo III, MSW
- Clinical Social Worker
- East Lansing, MI
National Provider Identifier
1164667473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801091085
- Practice address
- 2840 E Grand River Ave Ste 5
East Lansing, MI 48823 - Phone
- (517) 853-2992
- NPI assigned
- Dec 16, 2008
- Last updated
- Jan 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801091085 | MI | Primary |
Addresses
Primary practice location
2840 E Grand River Ave Ste 5
East Lansing, MI 48823
Mailing address
512 Bartlett St
Lansing, MI 48915-1902
Phone (989) 400-7834
Other practice location 1
6379 Dixie Hwy
Bridgeport, MI 48722-9566
Phone (989) 777-4357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ausable Valley CMH | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Tawas City, MI
- NPI 1952628893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1164667473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 BARTLETT ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489151902",
"telephone_number": "989-400-7834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 E GRAND RIVER AVE STE 5",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "48823",
"telephone_number": "517-853-2992"
}
],
"practiceLocations": [
{
"address_1": "6379 Dixie Hwy",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "MI",
"postal_code": "487229566",
"country_code": "US",
"telephone_number": "989-777-4357",
"fax_number": "989-777-8570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CICALO",
"first_name": "ARTHUR",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-16",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801091085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.