Individual provider Active NPI

Bailey Vanderweel, LMSW

  • Case Manager/Care Coordinator
  • Flint, MI
National Provider Identifier
1467983478
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
6802089147 Issued in MI
Practice address
G3169 Beecher Rd
Flint, MI 48532-3611
Phone
(810) 237-0799
Fax
(517) 676-5460
NPI assigned
Mar 22, 2017
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801116436 MI
Case Manager/Care Coordinator 171M00000X 6802089147 MI Primary

Addresses

Primary practice location

G3169 Beecher Rd
Flint, MI 48532-3611

Mailing address

9359 Harbor Cove Cir Apt 254
Whitmore Lake, MI 48189-9220
Phone (734) 223-3164

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801116436MIMDClinical Social Worker
6802089147MIMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1467983478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9359 HARBOR COVE CIR APT 254",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899220",
            "telephone_number": "734-223-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3169 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323611",
            "telephone_number": "810-237-0799",
            "fax_number": "517-676-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERWEEL",
        "first_name": "BAILEY",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116436",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6802089147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.