Individual provider Active NPI

Jennifer Corrigan, LMSW

  • Social Worker
  • Lapeer, MI
National Provider Identifier
1235312620
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801086364 Issued in MI
Practice address
624 W Nepessing St
Suite 300
Lapeer, MI 48446-2090
Phone
(810) 667-4500
Fax
(810) 667-4512
NPI assigned
Dec 10, 2007
Last updated
Jun 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801086364 MI Primary

Addresses

Primary practice location

624 W Nepessing St
Suite 300
Lapeer, MI 48446-2090

Mailing address

443 N State St
Caro, MI 48723-1539
Phone (989) 672-6160

Other identifiers 1

IdentifierTypeStateIssuer
7509109650OtherMIBCBS

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
I20080506000761 MI Practitioner - Clinical Social Worker 3678652351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glio Counseling GroupGroup PAC ID 9335360494, 2 clinicians

Practice addresses (Care Compare)

826 S Lapeer Rd
Suite B
Oxford, MI 48371-6511
Phone (248) 891-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801086364MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Glio Counseling Group CurrentSince Aug 19, 2014 Accepting new patients

Locations

826 S Lapeer Rd
Ste B
Oxford, MI 48371
Phone (248) 572-7002

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, 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": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1235312620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231539",
            "telephone_number": "989-672-6160",
            "fax_number": "989-672-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W NEPESSING ST",
            "address_2": "SUITE 300",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462090",
            "telephone_number": "810-667-4500",
            "fax_number": "810-667-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRIGAN",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801086364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7509109650",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.