Individual provider Active NPI

Marshelle Renae Hawver, LMSW, IMH-E

  • Clinical Social Worker
  • Coldwater, MI
National Provider Identifier
1215572698
Registry record updated Nov 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801066817 Issued in MI
Practice address
694 W Chicago Rd
Coldwater, MI 49036-8405
Phone
(517) 279-8866
NPI assigned
Nov 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MI
Clinical Social Worker 1041C0700X 6801066817 MI Primary

Addresses

Primary practice location

694 W Chicago Rd
Coldwater, MI 49036-8405

Mailing address

795 Marshall Rd
Coldwater, MI 49036-9202
Phone (517) 278-7294

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
I20260326000782 MI Practitioner - Clinical Social Worker 8123503356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Beginnings Psychological Services PCGroup PAC ID 1052846912, 3 clinicians

Practice addresses (Care Compare)

694 W Chicago Rd
Coldwater Office
Coldwater, MI 49036-8405
Phone (517) 279-8866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801066817MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Psychological Services PC CurrentSince Mar 12, 2024 Accepting new patients

Locations

694 W Chicago Rd
Coldwater, MI 49036
Phone (517) 279-8866

694 W Chicago Rd
Ofc
Coldwater, MI 49036
Phone (517) 279-8866

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573257600000",
    "number": "1215572698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 MARSHALL RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490369202",
            "telephone_number": "517-278-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 W CHICAGO RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490368405",
            "telephone_number": "517-279-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWVER",
        "first_name": "MARSHELLE",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, IMH-E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-09",
        "last_updated": "2019-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801066817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.