Individual provider Active NPI

Elisabeth Vaughn Alquist, LMSW

  • Clinical Social Worker
  • Kingsford, MI
National Provider Identifier
1306593330
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119761 Issued in MI
Practice address
715 Pyle Dr
Kingsford, MI 49802-4456
Phone
(906) 779-0535
NPI assigned
Mar 9, 2022
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851114304 MI
Clinical Social Worker 1041C0700X 6801119761 MI Primary

Addresses

Primary practice location

715 Pyle Dr
Kingsford, MI 49802-4456

Mailing address

600 Washington St Apt 7
Iron Mountain, MI 49801-4073
Phone (480) 204-1927

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ealquist@nbhs.org

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
I20250319000903 MI Practitioner - Clinical Social Worker 6305368341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

715 Pyle Dr
Kingsford, MI 49802-4456
Phone (906) 774-0522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851114304MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northpointe Behavioral Healthcare System CurrentSince Feb 4, 2025 Accepting new patients
Northpointe Behavioral Healthcare System Clinical CurrentSince Feb 4, 2025 Accepting new patients

Locations

703 N 2nd Ave
Iron River, MI 49935
Phone (906) 265-5126

715 Pyle Dr
Kingsford, MI 49802
Phone (906) 774-0522

Organizations & group practices 2

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1306593330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WASHINGTON ST APT 7",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014073",
            "telephone_number": "480-204-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 PYLE DR",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024456",
            "telephone_number": "906-779-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALQUIST",
        "first_name": "ELISABETH",
        "middle_name": "VAUGHN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851114304",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ealquist@nbhs.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "715 Pyle Dr",
            "city": "Kingsford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498024456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingsford, MI

Sources for this page

Verify at the official NPI Registry.