Individual provider Active NPI

Allison Ewert, LMSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1407428501
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1820 Shaffer St
Kalamazoo, MI 49048-1656
Phone
(269) 381-7136
Fax
(269) 381-6665
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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 MI Primary

Addresses

Primary practice location

1820 Shaffer St
Kalamazoo, MI 49048-1656

Mailing address

2282 Springport Rd
Jackson, MI 49202-1432

Other practice location 1

451 Health Pkwy Ste B
Paw Paw, MI 49079-8242
Phone (269) 655-3065

Other practice location 2

2282 Springport Rd
Jackson, MI 49202-1432
Phone (517) 768-9791

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

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
I20211008001405 MI Practitioner - Clinical Social Worker 8729486535 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brainwise Psychotherapy PLLCGroup PAC ID 5294177622, 10 clinicians

Practice addresses (Care Compare)

555 W Crosstown Pkwy
Suite 401
Kalamazoo, MI 49008-1980
Phone (269) 389-9502

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Lakeview Hospital CurrentSince Oct 1, 2021 Accepting new patients
Bronson South Haven Hospital CurrentSince Oct 1, 2021 Accepting new patients
Brainwise Psychotherapy PLLC Clinical CurrentSince Mar 1, 2025 Accepting new patients
Bronson Lakeview Hospital CurrentSince Oct 1, 2021 Accepting new patients
Bronson Methodist Hospital CurrentSince Oct 1, 2021 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Oct 1, 2021 Accepting new patients
Bronson South Haven Hospital CurrentSince Oct 1, 2021 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Oct 1, 2021 Accepting new patients

Locations

2900 Watkins Rd
Battle Creek, MI 49015
Phone (269) 245-5430

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

1820 Shaffer St
Kalamazoo, MI 49048
Phone (269) 381-7136

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-020
Kalamazoo, MI 49007
Phone (269) 341-8282

555 W Crosstown Pkwy
Ste 401
Kalamazoo, MI 49008
Phone (269) 389-9502

451 Health Pkwy
Ste B
Paw Paw, MI 49079
Phone (269) 655-3065

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

940 Blue Star Hwy
South Haven, MI 49090
Phone (269) 263-2976

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1407428501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 SPRINGPORT RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SHAFFER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481656",
            "telephone_number": "269-381-7136",
            "fax_number": "269-381-6665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Health Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Paw Paw",
            "state": "MI",
            "postal_code": "490798242",
            "country_code": "US",
            "telephone_number": "269-655-3065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2282 Springport Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492021432",
            "country_code": "US",
            "telephone_number": "517-768-9791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWERT",
        "first_name": "ALLISON",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.