Individual provider Active NPI

Clara Elizabeth Cardenas, LMSW, CAADC

  • Clinical Social Worker
  • Battle Creek, MI
National Provider Identifier
1447809827
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801104110 Issued in MI
Practice address
115 Michigan Ave W
Battle Creek, MI 49017-3605
Phone
(615) 935-7909
NPI assigned
Sep 9, 2019
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6801104110 MI
Clinical Social Worker 1041C0700X 6801104110 MI Primary

Addresses

Primary practice location

115 Michigan Ave W
Battle Creek, MI 49017-3605

Mailing address

842 Columbia Ave E
Battle Creek, MI 49014-5449
Phone (269) 753-1710

Other practice location 1

842 Columbia Ave E
Battle Creek, MI 49014-5449
Phone (269) 753-1710

Other practice location 2

18 Dunning Ave
Battle Creek, MI 49037-2046
Phone (269) 753-1710

Other identifiers 2

IdentifierTypeStateIssuer
15205664MedicaidMI
15205664OtherMIMERIDIAN

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL 2697531710
Other URL claraecardenas@yahoo.com Direct

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 W Ferry St
Berrien Springs, MI 49103-1109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801104110MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1447809827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 COLUMBIA AVE E",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145449",
            "telephone_number": "269-753-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MICHIGAN AVE W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173605",
            "telephone_number": "615-935-7909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "842 Columbia Ave E",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490145449",
            "country_code": "US",
            "telephone_number": "269-753-1710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Dunning Ave",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490372046",
            "country_code": "US",
            "telephone_number": "269-753-1710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "CLARA",
        "middle_name": "ELIZABETH",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6801104110",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15205664",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERIDIAN",
            "identifier": "15205664",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "2697531710",
            "affiliation": "N",
            "endpointDescription": "phone",
            "address_1": "842 Columbia Ave E",
            "city": "Battle Creek",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490145449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "claraecardenas@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18 Dunning Ave",
            "city": "Battle Creek",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490372046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.