Individual provider Active NPI

Nicole Marie Stayton, MSW, LMSW

  • Clinical Social Worker
  • Clarkston, MI
National Provider Identifier
1215657283
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801117720 Issued in MI
Practice address
5625 Water Tower PL Ste 340
Clarkston, MI 48346-2671
Phone
(248) 384-8130
Fax
(248) 384-8131
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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 6801117720 MI Primary

Addresses

Primary practice location

5625 Water Tower PL Ste 340
Clarkston, MI 48346-2671

Mailing address

5625 Water Tower PL Ste 340
Clarkston, MI 48346-2671
Phone (248) 384-8130

Other practice location 1

45 N Lapeer St
Lake Orion, MI 48362-3159
Phone (810) 515-0002

Other names 1

  • Nicole Marie Schulte 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
I20240516002229 MI Practitioner - Clinical Social Worker 5496196800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Community Based Primary Care GroupGroup PAC ID 2466938048, 56 clinicians

Practice addresses (Care Compare)

5625 Water Tower PL
Suite 340
Clarkston, MI 48346-2671
Phone (248) 384-8130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Community Based Primary Care Group Social Worker CurrentSince Jan 3, 2026 Accepting new patients
McLaren Community Based Primary Care Group CurrentSince Jan 3, 2026 Accepting new patients
Michigan Healthcare Professionals, P.C. CurrentSince Oct 6, 2025 Accepting new patients
Innovations by Gomes Incorporated CurrentSince Apr 10, 2024 Accepting new patients
Michigan Healthcare Professionals PC Current Accepting new patients
Place Counseling LLC Dba Treeside Psychological Clinic Clinical CurrentSince May 25, 2025 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Oct 6, 2025 Accepting new patients

Locations

5625 Water Tower Pl
Ste 340
Clarkston, MI 48346
Phone (248) 384-8130

7640 Dixie Hwy
Ste 155
Clarkston, MI 48346
Phone (248) 791-9266

5701 Bow Pointe Dr
Ste 100
Clarkston, MI 48346
Phone (248) 625-2621

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

45 N Lapeer St
Lake Orion, MI 48362
Phone (248) 693-9614

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

Organizations & group practices 7

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1215657283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 WATER TOWER PL STE 340",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462671",
            "telephone_number": "248-384-8130",
            "fax_number": "248-384-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 WATER TOWER PL STE 340",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462671",
            "telephone_number": "248-384-8130",
            "fax_number": "248-384-8131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 N Lapeer St",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483623159",
            "country_code": "US",
            "telephone_number": "810-515-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAYTON",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SCHULTE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.