Elizabeth Caron Alderson, LMSW
Individual provider Active NPI Clinical Social Worker · Portage, MI
NPI 1316323918 · NPPES record last updated Sep 29, 2023
Key facts
- NPI
- 1316323918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801098435 (MI)
- Practice address
- 1125 E Milham Ave Ste B
Portage, MI 49002-3096 - Phone
- (269) 312-1446
- Fax
- (269) 225-6949
- NPI assigned
- Aug 5, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Serene Solutions
Practice addresses (Care Compare)
1125 E Milham Ave
Suite B
Portage, MI 49002-3096
Phone (269) 312-1446
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220422001510 | MI | Practitioner - Clinical Social Worker | 5193112068 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serene Solutions | Current |
Accepting new patients |
Locations
4341 S Westnedge Ave
Ste 1106
Kalamazoo, MI 49008
Phone (269) 312-1446
1125 E Milham Ave
Ste B
Portage, MI 49002
Phone (269) 312-1446
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801098435 | MI | |
| Clinical Social Worker | 1041C0700X | 6801098435 | MI | Yes |
Addresses
Primary practice location
1125 E Milham Ave Ste B
Portage, MI 49002-3096
Mailing address
PO Box 2174
Kalamazoo, MI 49003-2174
Phone (269) 312-1446
Other practice location 1
12629 Hoffman Rd
Three Rivers, MI 49093-9543
Phone (269) 718-3471
Other practice location 2
4341 S Westnedge Ave Ste 1106
Kalamazoo, MI 49008-3283
Phone (269) 312-1446
Other providers in Portage, MI
- Martin Ajayi
- Sarah Anne Akers
- Thomas R Akland
- Karima Al Ahmad
- Amy Albertson
- Morgan Valene Aleman
- Cricket Alexander
- Nicholas Alexander Alfieri
- William Joseph Alfieri
- Aligned Care Chiropractic, PLLC
All providers in Portage, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.