Anna Mary Eggleston, LMSW
Individual provider Active NPI Clinical Social Worker · White Cloud, MI
NPI 1386023083 · NPPES record last updated Jul 29, 2019
Key facts
- NPI
- 1386023083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801097677 (MI)
- Practice address
- 1049 E Newell St
White Cloud, MI 49349-8795 - Phone
- (231) 689-7330
- NPI assigned
- May 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthy Mind Counseling PLLC
Practice addresses (Care Compare)
6995 W 48TH St
Fremont, MI 49412-9506
Phone 231335171833
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190903002885 | MI | Practitioner - Clinical Social Worker | 4587993365 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801097677 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Mind Counseling PLLC | Social Worker | Current |
Accepting new patients |
| Newaygo County Mental Health Board | Past | Accepting new patients | |
| Newaygo County Mental Health Board | Past | Accepting new patients |
Locations
6995 W 48th St
Fremont, MI 49412
Phone (231) 335-1718
1049 E Newell St
White Cloud, MI 49349
Phone (231) 689-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801097677 | MI | Yes |
Addresses
Primary practice location
1049 E Newell St
White Cloud, MI 49349-8795
Mailing address
PO Box 867
White Cloud, MI 49349-0867
Other providers in White Cloud, MI
- District Health Department #10
- District Health Department No 10
- District Health Department No 10
- Lisa R Dysard
- Riley Jean Eggers
- Agnes Monica Eichhorst
- Robert Terry Ekkens
- Stephanie Enos
- Noelle Jeanne Eveland
- Jacob Fields
All providers in White Cloud, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.