Jill M Farley PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JILL M FARLEY PLLC

Practice address

117 E Prospect Rd.
Lake City, MI 49651

Phone

(231) 846-8336

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

Jill Farley, LMSWNPI 1467884528

Title

Owner

Phone

(231) 846-8336

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Jill Farley LMSW2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jill Farley LMSW

  • Clinical Social Worker
  • Lake City, MI
  • NPI 1942053939
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Marie Farley, LMSW

  • Clinical Social Worker
  • Lake City, MI
  • NPI 1467884528
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1326899485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 W LOTAN RD",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496519016",
            "telephone_number": "231-846-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E PROSPECT RD.",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "49651",
            "telephone_number": "231-846-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL M FARLEY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-846-8336",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Guthaus
• Rebecca Angelique Hagerling, MS, LPC
• Heart Centered Services, PLLC
• Nicole Marie Hutchinson
• Jill Farley LMSW
• John Street Clinic PC
• Carol Ann Kenison, MA, LLP, LPC
• Kahlee C Kenwabikise
• Christine Louise Klein, OTR
• David Robert Kramp, P.T.

• Clinical Social Worker in Lake City, MI
• Providers in Lake City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.