Individual provider Active NPI

Patricia Wood

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1386034239
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1386034239 Issued in MI
Practice address
2025 S Washington Ave
Suite 210
Lansing, MI 48910-0828
Phone
(517) 371-1111
Fax
(517) 371-1121
NPI assigned
Jan 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6801095863 MI
Clinical Social Worker 1041C0700X 1386034239 MI Primary

Addresses

Primary practice location

2025 S Washington Ave
Suite 210
Lansing, MI 48910-0828

Mailing address

527 Elizabeth St
East Lansing, MI 48823-3430
Phone (517) 862-2197

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
I20160504001063 MI Practitioner - Clinical Social Worker 6002115524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801095863MIMDAddiction (Substance Use Disorder) Counselor
1386034239MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Clinical CurrentSince Aug 1, 2016 Accepting new patients
Edward W Sparrow Hospital Association Clinical CurrentSince Aug 1, 2016 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

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": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1386034239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 ELIZABETH ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233430",
            "telephone_number": "517-862-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S WASHINGTON AVE",
            "address_2": "SUITE 210",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489100828",
            "telephone_number": "517-371-1111",
            "fax_number": "517-371-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6801095863",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "1386034239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.