Individual provider Active NPI

Michelle Ganss, LMSW

  • Clinical Social Worker
  • Manistee, MI
National Provider Identifier
1407393226
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090644 Issued in MI
Practice address
1519 Lakeshore Rd
Manistee, MI 49660-1038
Phone
(231) 233-9563
NPI assigned
Jan 31, 2017
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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 6801090644 MI Primary

Addresses

Primary practice location

1519 Lakeshore Rd
Manistee, MI 49660-1038

Mailing address

1519 Lakeshore Rd
Manistee, MI 49660-1038
Phone (231) 233-9563

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
I20170817003163 MI Practitioner - Clinical Social Worker 0941570519 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Ganss, LMSW, LLC Clinical CurrentSince Jun 7, 2017 Accepting new patients

Locations

50 Filer St
Ste 210C
Manistee, MI 49660
Phone (231) 299-7507

50 Filer St
Ste 210E
Manistee, MI 49660
Phone (231) 299-7507

Organizations & group practices 1

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": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1407393226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 LAKESHORE RD",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601038",
            "telephone_number": "231-233-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 LAKESHORE RD",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601038",
            "telephone_number": "231-233-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANSS",
        "first_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

Verify at the official NPI Registry.