Vibrant Health Company

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801080284 Issued in MI

Legal business name

VIBRANT HEALTH COMPANY

Practice address

917 Wilson St
Marquette, MI 49855-4413

Phone

(906) 458-9501

NPI assigned

Dec 7, 2015

Organization subpart

No

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

Authorized official

Name

Traci E Ball, LMSW CAADCNPI 1841386943

Title

Clinical Social Worker

Phone

(906) 458-9501

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Traci Elizabeth Ball, LMSW CAADC

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1841386943
  NPD (past) Authorized official

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1255706925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 WILSON ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554413",
            "telephone_number": "906-458-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 WILSON ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554413",
            "telephone_number": "906-458-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT HEALTH COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "906-458-9501",
        "authorized_official_credential": "LMSW CAADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801080284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6801080284",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Veley
• Steven J Verbridge, D.O.
• Richard E Vermeulen, MD
• Jill M Vessels, LBSW CADC CPS
• David Mark Viau, M.D.
• Ruffa Villota
• Coralie Voce, LBSW,CADC-M
• Nathan Wachsmuth
• Sandra L Wachter, CRNA
• Jeannie Chien Wagner, P.T.

• Clinical Social Worker in Marquette, MI
• Providers in Marquette, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.