Individual provider Active NPI

Devon Frontczak, LMSW

  • Clinical Social Worker
  • Fort Gratiot, MI
National Provider Identifier
1184043309
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801116705 Issued in MI
Practice address
3675 N River Rd
Fort Gratiot, MI 48059-4147
Phone
(810) 292-2391
NPI assigned
Apr 15, 2014
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 6801116705 MI Primary

Addresses

Primary practice location

3675 N River Rd
Fort Gratiot, MI 48059-4147

Mailing address

3675 N River Rd
Fort Gratiot, MI 48059-4147
Phone (810) 292-2391

Other names 1

  • Devon France Former name

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
I20230811001004 MI Practitioner - Clinical Social Worker 2365804036 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Placed on Purpose Clinical CurrentSince Feb 1, 2024 Accepting new patients
Renewal Christian Counseling Inc Clinical CurrentSince Aug 9, 2023 Accepting new patients

Locations

3675 N River Rd
Fort Gratiot, MI 48059
Phone (810) 292-2391

5816 Eastman Ave
Midland, MI 48640
Phone (989) 244-1888

100 Northbound Gratiot Ave
Ste A
Mount Clemens, MI 48043
Phone (586) 783-2950

1024 Superior St
Port Huron, MI 48060
Phone (810) 985-9644

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1184043309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 N RIVER RD",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594147",
            "telephone_number": "810-292-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 N RIVER RD",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594147",
            "telephone_number": "810-292-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONTCZAK",
        "first_name": "DEVON",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVON",
            "last_name": "FRANCE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Gratiot, MI

Sources for this page

Verify at the official NPI Registry.