Individual provider Active NPI

Steven Craig McCleary, LMSW, CAADC

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1396969333
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801072603 Issued in MI
Practice address
830 E Front St Ste 320
Traverse City, MI 49686-2519
Phone
(231) 944-0632
Fax
(231) 943-1115
NPI assigned
Apr 12, 2007
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 6801072603 MI Primary

Addresses

Primary practice location

830 E Front St Ste 320
Traverse City, MI 49686-2519

Mailing address

PO Box 1767
Grand Rapids, MI 49501-1767
Phone (231) 944-0632

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
I20050902000716 MI Practitioner - Clinical Social Worker 3779515374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

830 E Front St
Suite 320
Traverse City, MI 49686-2519
Phone (231) 944-0632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801072603MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Path Counseling, PLLC Clinical CurrentSince Apr 8, 2013 Accepting new patients
Arbor Circle Corporation Clinical PastSince Feb 14, 2011 Accepting new patients
True Nature Counseling LLC Clinical PastSince Aug 1, 2023 Accepting new patients
Lakeview Counseling P.C. PastSince Aug 22, 2019 Accepting new patients

Locations

13606 S West Bay Shore Dr
#B
Traverse City, MI 49684
Phone (231) 215-2921

830 E Front St
Ste 320
Traverse City, MI 49686
Phone (231) 714-4497

Organizations & group practices 4

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1396969333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1767",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495011767",
            "telephone_number": "231-944-0632",
            "fax_number": "231-946-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E FRONT ST STE 320",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862519",
            "telephone_number": "231-944-0632",
            "fax_number": "231-943-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEARY",
        "first_name": "STEVEN",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801072603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.