Individual provider Active NPI

Jeannine Taylor, LMSW

  • Clinical Social Worker
  • Mason, MI
National Provider Identifier
1427245950
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801063438 Issued in MI
Practice address
566 N Cedar St
Mason, MI 48854-1015
Phone
(517) 676-2461
Fax
(517) 676-2158
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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 6801063438 MI Primary

Addresses

Primary practice location

566 N Cedar St
Mason, MI 48854-1015

Mailing address

566 N Cedar St
Mason, MI 48854-1015
Phone (517) 676-2461

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
I20110621000577 MI Practitioner - Clinical Social Worker 3678751641 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

812 E Jolly Rd
Lansing, MI 48910-6818
Phone (517) 346-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W Sparrow Hospital Association Clinical CurrentSince Sep 10, 2020 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Sep 10, 2020 Accepting new patients
County of Ingham Current Accepting new patients
County of Ingham CurrentSince Apr 19, 2011 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

812 E Jolly Rd
Lansing, MI 48910
Phone (517) 237-7162

812 E Jolly Rd
Ste 216
Lansing, MI 48910
Phone (517) 346-9525

812 E Jolly Rd
Ste 210
Lansing, MI 48910
Phone (517) 237-7162

1115 S Pennsylvania Ave
Lansing, MI 48912
Phone (517) 346-4700

1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

Organizations & group practices 6

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": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1427245950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 N CEDAR ST",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541015",
            "telephone_number": "517-676-2461",
            "fax_number": "517-676-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 N CEDAR ST",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541015",
            "telephone_number": "517-676-2461",
            "fax_number": "517-676-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEANNINE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, MI

Sources for this page

Verify at the official NPI Registry.