Individual provider Active NPI

Michelle Hattie Nichols, LMSW

  • Social Worker
  • East Lansing, MI
National Provider Identifier
1407935455
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801079885 Issued in MI
Practice address
5030 Northwind Dr Ste 108
East Lansing, MI 48823-5034
Phone
(517) 336-4335
Fax
(517) 336-0101
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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 6801079885 MI Primary

Addresses

Primary practice location

5030 Northwind Dr Ste 108
East Lansing, MI 48823-5034

Mailing address

1031 E Saginaw St
Lansing, MI 48906-5519
Phone (517) 487-9642

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
I20110830000068 MI Practitioner - Clinical Social Worker 8921278060 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
Telehealth
Offers telehealth services
Group practices
Monarch Counseling LLCGroup PAC ID 2769763978, 7 clinicians

Practice addresses (Care Compare)

3355 Dunckel Rd
Lansing, MI 48911-4250
Phone (517) 930-3071

923 S Lansing St
Mason, MI 48854-1917
Phone (517) 980-5980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Counseling LLC CurrentSince May 5, 2017 Accepting new patients
New Community Resources Past Accepting new patients
New Community Resources PastSince Jan 6, 2026 Accepting new patients

Locations

306 S Creyts Rd
Lansing, MI 48917
Phone (517) 204-1604

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1407935455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 E SAGINAW ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489065519",
            "telephone_number": "517-487-9642",
            "fax_number": "517-487-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 NORTHWIND DR STE 108",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235034",
            "telephone_number": "517-336-4335",
            "fax_number": "517-336-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MICHELLE",
        "middle_name": "HATTIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801079885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.