Individual provider Active NPI

Sandra Marie Kreager, LMSW

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1447740873
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801035177 Issued in MI
Practice address
5090 State St
Saginaw, MI 48603-7706
Phone
(989) 573-0937
NPI assigned
May 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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 6801035177 MI Primary

Addresses

Primary practice location

5090 State St
Saginaw, MI 48603-7706

Mailing address

8651 Midland Rd
Freeland, MI 48623-8735
Phone (989) 573-0937

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
I20180912000544 MI Practitioner - Clinical Social Worker 5294085205 Practice locations: Saginaw, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5090 State St
Suite B103
Saginaw, MI 48603-3778
Phone (989) 573-0937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801035177MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1447740873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8651 MIDLAND RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238735",
            "telephone_number": "989-573-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486037706",
            "telephone_number": "989-573-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREAGER",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801035177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.