Individual provider Active NPI

Rafael Parsons Aguirre, LMSW

  • Clinical Social Worker
  • Kincheloe, MI
National Provider Identifier
1306249610
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094006 Issued in MI
Practice address
16523 S Water Tower Dr
Kincheloe, MI 49788-1592
Phone
(906) 495-2020
Fax
(906) 495-1093
NPI assigned
Sep 30, 2014
Last updated
Sep 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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 6801094006 MI Primary

Addresses

Primary practice location

16523 S Water Tower Dr
Kincheloe, MI 49788-1592

Mailing address

16523 S Water Tower Dr
Kincheloe, MI 49788-1592
Phone (906) 495-2020

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
I20230802002576 MI Order and Referring Only - Clinical Social Worker 3476803909

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sault Tribe of Chippewa IndiansGroup PAC ID 7012982937, shared by 6 NPIs, 29 clinicians

Practice addresses (Care Compare)

2864 Ashmun St
Sault S Marie, MI 49783-3740
Phone (906) 632-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1306249610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16523 S WATER TOWER DR",
            "city": "KINCHELOE",
            "state": "MI",
            "postal_code": "497881592",
            "telephone_number": "906-495-2020",
            "fax_number": "906-495-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16523 S WATER TOWER DR",
            "city": "KINCHELOE",
            "state": "MI",
            "postal_code": "497881592",
            "telephone_number": "906-495-2020",
            "fax_number": "906-495-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "RAFAEL",
        "middle_name": "PARSONS",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kincheloe, MI

Sources for this page

Verify at the official NPI Registry.