Joanne Southworth, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703083082 Issued in MI

Practice address

210 S Main St
Three Rivers, MI 49093-1624

Phone

(269) 273-5000

Fax

(269) 273-8019

NPI assigned

Sep 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Community Mental Health Services of St Joseph County

  • Community/Behavioral Health Agency
  • Centreville, MI
  • NPI 1366438483
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215923339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490931624",
            "telephone_number": "269-273-5000",
            "fax_number": "269-273-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490931624",
            "telephone_number": "269-273-5000",
            "fax_number": "269-273-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWORTH",
        "first_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703083082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1708146",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Marie-Fern Sotelo
• James Loren Souers
• Southwest Michigan Chiropractic, Inc,
• Southwest Michigan Psychological Solutions, PLLC
• Southwest Vision Center Inc
• Kristi Sue Spoelma, MA LLPC
• Steven Michael Squires, PA-C
• St. Joseph County Commission on Aging
• Brandi Lynn Steele
• Marijo Steenstra, M.S.

• Licensed Practical Nurse in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.