Active NPI
Marjorie Middel, M.S. W
- Clinical Social Worker
- Cadillac, MI
National Provider Identifier
1386174134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801017168
- Practice address
- 1909 N. Mitchell Street
Aleda E. Lutz Veterans Affairs Medical Center Cadillac
Cadillac, MI 49601 - Phone
- (231) 775-4401
- Fax
- (231) 775-4546
- NPI assigned
- Jun 14, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801017168 | MI | Primary |
Addresses
Primary practice location
1909 N. Mitchell Street
Aleda E. Lutz Veterans Affairs Medical Center Cadillac
Cadillac, MI 49601
Mailing address
Aleda E. Lutz Veterans Affairs Medical Center Cadillac
1909 N. Mitchell Street
Cadillac, MI 49601
Phone (231) 775-4401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801017168 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1386174134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ALEDA E. LUTZ VETERANS AFFAIRS MEDICAL CENTER CADILLAC",
"address_2": "1909 N. MITCHELL STREET",
"city": "CADILLAC",
"state": "MI",
"postal_code": "49601",
"telephone_number": "231-775-4401",
"fax_number": "231-775-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 N. MITCHELL STREET",
"address_2": "ALEDA E. LUTZ VETERANS AFFAIRS MEDICAL CENTER CADILLAC",
"city": "CADILLAC",
"state": "MI",
"postal_code": "49601",
"telephone_number": "231-775-4401",
"fax_number": "231-775-4546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDEL",
"first_name": "MARJORIE",
"credential": "M.S. W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801017168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.