Individual provider Active NPI

Alice K Lambert

  • Clinical Social Worker
  • Portage, MI
National Provider Identifier
1366069502
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801101886 Issued in MI
Practice address
1125 E Milham Ave Ste B
Portage, MI 49002-3096
Phone
(269) 312-1446
Fax
(269) 225-6949
NPI assigned
Jul 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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 6801101886 MI Primary

Addresses

Primary practice location

1125 E Milham Ave Ste B
Portage, MI 49002-3096

Mailing address

PO Box 2174
Kalamazoo, MI 49003-2174
Phone (693) 121-4462

Other practice location 1

140 Michigan Ave W
Battle Creek, MI 49017-3602
Phone (269) 966-1460

Other identifiers 2

IdentifierTypeStateIssuer
1366069502MedicaidMI
6801101886OtherMILICENSE NUMBER

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
I20230208003147 MI Practitioner - Clinical Social Worker 7719359264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serene Solutions 17 clinicians
Summit Pointe 24 clinicians

Practice addresses (Care Compare)

1125 E Milham Ave
Suite B
Portage, MI 49002-3096
Phone (269) 312-1446

3630 Capital Ave SW
Suite 1
Batt;E Creel, MI 49015-7376
Phone (269) 979-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801101886MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Pointe Clinical CurrentSince Nov 1, 2022 Accepting new patients
Serene Solutions CurrentSince Jan 1, 2025 Accepting new patients

Locations

8472 Reliable Pkwy
Chicago, IL 60686

3630 Capital Ave SW
Ste 1
Battle Creek, MI 49015
Phone (269) 979-8333

140 Michigan Ave W
Battle Creek, MI 49017
Phone (269) 966-1460

1125 E Milham Ave
Ste B
Portage, MI 49002
Phone (269) 312-1446

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.

NPI Registry JSON

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

{
    "created_epoch": "1593820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1366069502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2174",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490032174",
            "telephone_number": "693-121-4462",
            "fax_number": "269-225-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E MILHAM AVE STE B",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490023096",
            "telephone_number": "269-312-1446",
            "fax_number": "269-225-6949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Michigan Ave W",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490173602",
            "country_code": "US",
            "telephone_number": "269-966-1460",
            "fax_number": "269-966-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "ALICE",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-04",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366069502",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "6801101886",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.