Individual provider Active NPI

Jose Carrera, LMSW

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1275983280
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801069652 Issued in MI
Practice address
2800 W Willow St
Lansing, MI 48917-1833
Phone
(517) 323-4734
NPI assigned
Jun 21, 2016
Last updated
Jun 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801069652 MI Primary

Addresses

Primary practice location

2800 W Willow St
Lansing, MI 48917-1833

Mailing address

2800 W Willow St
Lansing, MI 48917-1833
Phone (517) 323-4734

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
I20171227002492 MI Practitioner - Clinical Social Worker 2668730425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Psychological Services PCGroup PAC ID 6800805060, 9 clinicians

Practice addresses (Care Compare)

2720 E Lansing Dr
East Lansing, MI 48823-7754
Phone (517) 337-2900

Merit-based Incentive Payment System (MIPS)

Final score
91.34 of 100Reported as group
Quality
78.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801069652MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
GPS Guide to Personal Solutions CurrentSince Nov 23, 2020 Accepting new patients
Comprehensive Psychological Services PC CurrentSince Feb 2, 2022 Accepting new patients
Comprehensive Psychological Service, PLLC CurrentSince Feb 2, 2022 Accepting new patients

Locations

2720 E Lansing Dr
East Lansing, MI 48823
Phone (517) 337-2900

1801 E Saginaw St
Ste 1
Lansing, MI 48912
Phone (517) 667-0061

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, 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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1275983280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W WILLOW ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171833",
            "telephone_number": "517-323-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W WILLOW ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171833",
            "telephone_number": "517-323-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERA",
        "first_name": "JOSE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801069652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.