Active NPI
Jodi Brooke Neumann
- Clinical Social Worker
- Traverse City, MI
National Provider Identifier
1346444643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801093452
- Practice address
- 1050 Silver Dr
Traverse City, MI 49684-5749 - Phone
- (231) 947-2255
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801093452 | MI | Primary |
Addresses
Primary practice location
1050 Silver Dr
Traverse City, MI 49684-5749
Mailing address
1315 W Harvest
Traverse City, MI 49685-8626
Phone (231) 313-9165
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1200 W Eleventh St
Suite 114
Traverse City, MI 49684-3288
Phone (231) 493-2111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Rest Christian Mental Health Services | Current | Accepting new patients | |
| Courageous Life Counseling | Current | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Social Worker | Current | Accepting new patients |
Locations
1200 W Eleventh St
Ste 114
Traverse City, MI 49684
Phone (231) 493-2111
300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Traverse City, MI
- NPI 1649788498
-
- Social Worker
- Grand Rapids, MI
- NPI 1922019157
-
- Professional Counselor
- Grand Rapids, MI
- NPI 1386015683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1346444643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 W HARVEST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496858626",
"telephone_number": "231-313-9165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 SILVER DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496845749",
"telephone_number": "231-947-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUMANN",
"first_name": "JODI",
"middle_name": "BROOKE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801093452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.