Individual provider Active NPI

Madison Phillipich, LLMSW

  • School Social Worker
  • Holt, MI
National Provider Identifier
1447169602
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
6851110791 Issued in MI
Practice address
2055 S Washington Rd
Holt, MI 48842-8647
Phone
(517) 699-5769
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 6851110791 MI Primary

Addresses

Primary practice location

2055 S Washington Rd
Holt, MI 48842-8647

Mailing address

5594 Creekwood LN
Haslett, MI 48840-9752
Phone (517) 898-3920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1447169602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5594 CREEKWOOD LN",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488409752",
            "telephone_number": "517-898-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 S WASHINGTON RD",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488428647",
            "telephone_number": "517-699-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPICH",
        "first_name": "MADISON",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6851110791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.