Individual provider Active NPI

Christine Cromwell, MSW

  • Clinical Social Worker
  • West Branch, MI
National Provider Identifier
1356829501
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801111012 Issued in MI
Practice address
2354 S Gray Rd
West Branch, MI 48661-9606
Phone
(989) 362-8636
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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 6802070707 MI
Clinical Social Worker 1041C0700X 6801111012 MI Primary

Addresses

Primary practice location

2354 S Gray Rd
West Branch, MI 48661-9606

Mailing address

2354 S Gray Rd
West Branch, MI 48661-9606
Phone (989) 390-9797

Other names 1

  • Christine Koehler Former name

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
I20211104001727 MI Practitioner - Clinical Social Worker 0143618538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2354 S Gray Rd
West Branch, MI 48661-9606
Phone (248) 228-0910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801111012MIMDClinical Social Worker
6802070707MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cromwell Consulting, LLC CurrentSince Mar 13, 2023 Accepting new patients
Partners in Change: Psychological & Community Services, PLC CurrentSince Nov 22, 2021 Accepting new patients

Locations

720 W Wackerly St
Ste 11
Midland, MI 48640
Phone (989) 832-2165

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1356829501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2354 S GRAY RD",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619606",
            "telephone_number": "989-390-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 S GRAY RD",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619606",
            "telephone_number": "989-362-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMWELL",
        "first_name": "CHRISTINE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802070707",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801111012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "KOEHLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Branch, MI

Sources for this page

Verify at the official NPI Registry.