Individual provider Active NPI

Noelle Kathryn Cotter, MSW

  • Clinical Social Worker
  • Saint Clair, MI
National Provider Identifier
1336106129
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801081314 Issued in MI
Practice address
1322 N River Rd
Norserv Group
St Clair, MI 48079
Phone
(810) 329-4798
Fax
(810) 329-7303
NPI assigned
Apr 27, 2006
Last updated
Jul 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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 6801081314 MI Primary

Addresses

Primary practice location

1322 N River Rd
Norserv Group
St Clair, MI 48079

Mailing address

8757 Cooley Beach Drive
White Lake, MI 48386
Phone (248) 760-0827

Other identifiers 1

IdentifierTypeStateIssuer
740123MedicaidMI

Other names 1

  • Noelle Daunt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801081314MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Norserv Group LTD PastSince Sep 1, 2000 Accepting new patients
St Clair County Community Mental Health Authority Past Accepting new patients

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1336106129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8757 COOLEY BEACH DRIVE",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "48386",
            "telephone_number": "248-760-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 N RIVER RD",
            "address_2": "NORSERV GROUP",
            "city": "ST CLAIR",
            "state": "MI",
            "postal_code": "48079",
            "telephone_number": "810-329-4798",
            "fax_number": "810-329-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "NOELLE",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740123",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOELLE",
            "last_name": "DAUNT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Clair, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.