Individual provider Active NPI

Cheryl Parente Roggow, LMSW

  • Clinical Social Worker
  • Plainwell, MI
National Provider Identifier
1386711414
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6802082512 Issued in MI
Practice address
319 Park St
Plainwell, MI 49080-1655
Phone
(269) 685-9401
Fax
(269) 685-9403
NPI assigned
Nov 30, 2006
Last updated
Apr 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6802082512 MI Primary

Addresses

Primary practice location

319 Park St
Plainwell, MI 49080-1655

Mailing address

319 Park St
Plainwell, MI 49080-1655
Phone (269) 685-9401

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
I20070416000289 MI Practitioner - Clinical Social Worker 6103921416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Counseling Center, PCGroup PAC ID 3173684081, 3 clinicians

Practice addresses (Care Compare)

319 Park St
Plainwell, MI 49080-1655
Phone (269) 685-9401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6802082512MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center, PC CurrentSince Jun 4, 2008 Accepting new patients
The Counseling Center, PC Clinical Past Accepting new patients
The Counseling Center Past Accepting new patients

Locations

319 Park St
Plainwell, MI 49080
Phone (269) 685-9401

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1386711414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 PARK ST",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490801655",
            "telephone_number": "269-685-9401",
            "fax_number": "269-685-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 PARK ST",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490801655",
            "telephone_number": "269-685-9401",
            "fax_number": "269-685-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARENTE ROGGOW",
        "first_name": "CHERYL",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802082512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainwell, MI

Sources for this page

Verify at the official NPI Registry.