Peter Vantil, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801115735 Issued in MI

Practice address

1555 Industrial Dr
Owosso, MI 48867-9775

Phone

(989) 723-6791

NPI assigned

Apr 14, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shiawassee County Community Mental Health AuthorityGroup PAC ID 6002702750, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• R U Ready Recovery PLLC

  • Clinical Social Worker
  • Owosso, MI
  • NPI 1033740162
  Medicare reassignment NPD Authorized official
• Shiawassee County Community Mental Health Authority

  dba Shiawassee Health & Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owosso, MI
  • NPI 1497749279
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1376997593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19677 S OAKLEY RD",
            "city": "OAKLEY",
            "state": "MI",
            "postal_code": "486499705",
            "telephone_number": "676-437-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 INDUSTRIAL DR",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679775",
            "telephone_number": "989-723-6791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 E Mason St Apt 4",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "488673053",
            "country_code": "US",
            "telephone_number": "989-277-3284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANTIL",
        "first_name": "PETER",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Vack, LMSW
• Jasmine Vanamburg
• Erin Vanbuskirk, MSOT, OTR/L
• Amy Vanderklok, PHARM. D
• Ashley Ann Vanecek
• Maria Vargas, RN
• Eric Scott Verbeck
• Bethanie Veresh
• VG's Pharmacy Inc (VG's Pharmacy #2)
• Village Care Pharmacy LLC

• Clinical Social Worker in Owosso, MI
• Providers in Owosso, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.

Verify at the official NPI Registry.