Individual provider Active NPI

Beth Drollinger, LSW

  • Social Worker
  • Saint Joseph, MI
National Provider Identifier
1386401214
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851117506 Issued in MI
Practice address
830 Pleasant St FL 2
Saint Joseph, MI 49085-1102
Phone
(505) 913-0000
Fax
(505) 913-0000
NPI assigned
Mar 6, 2024
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6851117506 MI Primary

Addresses

Primary practice location

830 Pleasant St FL 2
Saint Joseph, MI 49085-1102

Mailing address

830 Pleasant St FL 2
Saint Joseph, MI 49085-1102

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

State licenses

LicenseStateTypeSpecialty
6851117506MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1386401214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 PLEASANT ST FL 2",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PLEASANT ST FL 2",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851102",
            "telephone_number": "505-913-0000",
            "fax_number": "505-913-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROLLINGER",
        "first_name": "BETH",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851117506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.