Active NPI
Nancy Stevenson, LMSW
- Social Worker
- Traverse City, MI
National Provider Identifier
1366807281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 680110446
- Practice address
- 5015 N Royal Dr
Traverse City, MI 49684-9292 - Phone
- (231) 935-0850
- Fax
- (231) 935-0869
- NPI assigned
- Dec 18, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Social Worker | 104100000X | 680110446 | FM | Primary |
Addresses
Primary practice location
5015 N Royal Dr
Traverse City, MI 49684-9292
Mailing address
5015 N Royal Dr
Traverse City, MI 49684-9292
Phone (231) 935-0850
Other practice location 1
3644 Silver Farms Ln
Traverse City, MI 49684-8795
Phone (231) 409-5010
Other practice location 2
1844 Oak Hollow Dr
Traverse City, MI 49686-5924
Phone (231) 299-2149
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 680110446 | FM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Traverse Internists, PC | Current | Accepting new patients |
Locations
5015 N Royal Dr
Traverse City, MI 49684
Phone (231) 935-0850
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIAHAA
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Traverse City, MI
- NPI 1578559365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1366807281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5015 N ROYAL DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496849292",
"telephone_number": "231-935-0850",
"fax_number": "231-935-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5015 N ROYAL DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496849292",
"telephone_number": "231-935-0850",
"fax_number": "231-935-0869"
}
],
"practiceLocations": [
{
"address_1": "3644 Silver Farms Ln",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496848795",
"country_code": "US",
"telephone_number": "231-409-5010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1844 Oak Hollow Dr",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496865924",
"country_code": "US",
"telephone_number": "231-299-2149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENSON",
"first_name": "NANCY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-18",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FM",
"license": "680110446",
"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 Aug 29, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.