Individual provider Active NPI

Michelle Martin, LMSW

  • Clinical Social Worker
  • Hancock, MI
National Provider Identifier
1215162722
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090222 Issued in MI
Practice address
200 Michigan St
Ste 327
Hancock, MI 49930-1448
Phone
(906) 231-1320
NPI assigned
May 28, 2009
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 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 6801090222 MI Primary

Addresses

Primary practice location

200 Michigan St
Ste 327
Hancock, MI 49930-1448

Mailing address

200 Michigan St
Ste 327
Hancock, MI 49930-1448
Phone (906) 231-1320

Other names 1

  • Michelle Lambert 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
I20110705000244 MI Practitioner - Clinical Social Worker 7416135983 Reassigns benefits to 3 organizations
Practice locations: Hancock, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Unite Up Social Worker CurrentSince Apr 3, 2023 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Feb 9, 2023 Accepting new patients
Copper Country Community Mental Health Services CurrentSince Jul 2, 2018 Accepting new patients
Copper Country Community Mental Health Services CurrentSince Jul 2, 2018 Accepting new patients
Pine Rest Christian Mental Health Services Social Worker CurrentSince Feb 9, 2023 Accepting new patients

Locations

1014 College Ave
Houghton, MI 49931
Phone (906) 482-6800

1014 College Ave
Ofc
Houghton, MI 49931
Phone (904) 861-8233

300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000

Organizations & group practices 5

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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1215162722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MICHIGAN ST",
            "address_2": "STE 327",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301448",
            "telephone_number": "906-231-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MICHIGAN ST",
            "address_2": "STE 327",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301448",
            "telephone_number": "906-231-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LAMBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hancock, MI

Sources for this page

Verify at the official NPI Registry.