Individual provider Active NPI

John C Woodard, LLMSW

  • Social Worker
  • Adrian, MI
National Provider Identifier
1447449954
Registry record updated Oct 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801085855 Issued in MI
Practice address
604 S Main St
Adrian, MI 49221-3215
Phone
(517) 673-3772
Fax
(517) 264-0383
NPI assigned
Oct 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2007

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 6801085855 MI Primary

Addresses

Primary practice location

604 S Main St
Adrian, MI 49221-3215

Mailing address

604 S Main St
Adrian, MI 49221-3215
Phone (517) 673-3772

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
I20121108000097 MI Practitioner - Clinical Social Worker 0840441473 Practice locations: Adrian, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

604 S Main St
Adrian, MI 49221-3215
Phone (517) 673-3772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801085855MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counselingoflenawee, PC Past Accepting new patients
Judith Roes Hammerle, PH.D., LLC Past Accepting new patients

Organizations & group practices 2

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": "1192924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192924800000",
    "number": "1447449954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213215",
            "telephone_number": "517-673-3772",
            "fax_number": "517-264-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213215",
            "telephone_number": "517-673-3772",
            "fax_number": "517-264-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-21",
        "last_updated": "2007-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801085855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.