Individual provider Active NPI

Stephanie Kay Muirhead, LMSW

  • Clinical Social Worker
  • Flushing, MI
National Provider Identifier
1225325962
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092243 Issued in MI
Practice address
117 S Cherry St
Flushing, MI 48433-2018
Phone
(810) 373-5133
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801092243 MI
Clinical Social Worker 1041C0700X 6801092243 MI Primary

Addresses

Primary practice location

117 S Cherry St
Flushing, MI 48433-2018

Mailing address

PO Box 692
Freeland, MI 48623-0692
Phone (989) 492-0404

Other practice location 1

303 W Water St
Suite 108
Flint, MI 48503-5627
Phone (810) 232-2766

Other practice location 2

1717 E Sugnet Rd
Midland, MI 48642-3827
Phone (989) 492-0404

Other identifiers 1

IdentifierTypeStateIssuer
6801092243OtherMILICENSE

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
I20150915002180 MI Practitioner - Clinical Social Worker 1355658980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1210 Salzburg Ave
Bay City, MI 48706-3443
Phone (989) 492-0404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teresa Jean Lynch CurrentSince Oct 1, 2022 Accepting new patients
Epic Counseling, PLLC Clinical CurrentSince Jul 16, 2023 Accepting new patients
Schanda Tarkowski PLLC CurrentSince Apr 1, 2022 Accepting new patients
Alternative Community Living, Inc. Past Accepting new patients

Locations

1210 Salzburg Ave
Bay City, MI 48706
Phone (989) 492-0404

117 S Cherry St
Flushing, MI 48433
Phone (810) 373-5133

1717 E Sugnet Rd
Midland, MI 48642
Phone (989) 492-0404

Organizations & group practices 4

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1225325962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486230692",
            "telephone_number": "989-492-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S CHERRY ST",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332018",
            "telephone_number": "810-373-5133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 W Water St",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485035627",
            "country_code": "US",
            "telephone_number": "810-232-2766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 E Sugnet Rd",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486423827",
            "country_code": "US",
            "telephone_number": "989-492-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUIRHEAD",
        "first_name": "STEPHANIE",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801092243",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6801092243",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

Verify at the official NPI Registry.