Individual provider Active NPI

Michelle McDonald, LLMSW

  • Clinical Social Worker
  • Saint Johns, MI
National Provider Identifier
1265843296
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092351 Issued in MI
Practice address
1505 Waterford Pkwy
Saint Johns, MI 48879-9630
Phone
(989) 668-0700
NPI assigned
May 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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 L2423694 MI
Clinical Social Worker 1041C0700X 6801092351 MI Primary

Addresses

Primary practice location

1505 Waterford Pkwy
Saint Johns, MI 48879-9630

Mailing address

1505 Waterford Pkwy
Saint Johns, MI 48879-9630
Phone (989) 668-0700

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
I20190131003036 MI Practitioner - Clinical Social Worker 4385981133 Reassigns benefits to 2 organizations

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
Group practices
Therapy Today Counseling and Consulting LLCGroup PAC ID 2567607062, 27 clinicians

Practice addresses (Care Compare)

4572 S Hagadorn Rd
East Lansing, MI 48823-5385
Phone (517) 481-2133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L2423694MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton County Medical Center Psychological Services PLLC Mental Health CurrentSince Nov 26, 2018 Accepting new patients
Clinton County Medical Center Psychological Services PLLC Social Worker CurrentSince Nov 26, 2018 Accepting new patients
Therapy Today Counseling and Consulting, LLC Clinical CurrentSince Oct 1, 2020 Accepting new patients

Locations

724 E Superior St
Alma, MI 48801
Phone (989) 292-6194

4572 S Hagadorn Rd
Ste 1C
East Lansing, MI 48823
Phone (517) 481-2133

1505 Waterford Pkwy
Saint Johns, MI 48879
Phone (989) 227-0710

Organizations & group practices 3

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1265843296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WATERFORD PKWY",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799630",
            "telephone_number": "989-668-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WATERFORD PKWY",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799630",
            "telephone_number": "989-668-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MICHELLE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "L2423694",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

Verify at the official NPI Registry.