Individual provider Active NPI

Varnell Person-Turner, LCSW

  • Clinical Social Worker
  • Centreville, MI
National Provider Identifier
1477066694
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801081092 Issued in MI
Practice address
658 E Main St
Centreville, MI 49032-9627
Phone
(269) 467-3228
NPI assigned
Nov 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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 6801081092 MI Primary

Addresses

Primary practice location

658 E Main St
Centreville, MI 49032-9627

Mailing address

658 E Main St
Centreville, MI 49032-9627

Other practice location 1

23999 W 10 Mile Rd Ste 110
Southfield, MI 48033-3158
Phone (248) 996-8258

Other practice location 2

20241 Meyers Rd.
Detroit, MI 48235
Phone (313) 690-0289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171127001833 MI Practitioner - Clinical Social Worker 9335406578 Reassigns benefits to 1 organization
I20250128001359 TX Practitioner - Clinical Social Worker 9335406578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cow Creek Band of Umpqua Tribe of IndiansGroup PAC ID 8921099474, 21 clinicians

Practice addresses (Care Compare)

500 SE Cass Ave
Suite 110
Roseburg, OR 97470-3165
Phone (541) 677-5520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801081092MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cow Creek Band of Umpqua Tribe of Indians CurrentSince Nov 23, 2024 Accepting new patients
Covered Bridge Healthcare of St. Joseph County Inc CurrentSince Mar 1, 2022 Accepting new patients
Cow Creek Band of Umpqua Tribe of Indians PastSince Aug 8, 2021 Accepting new patients

Locations

658 E Main St
Centreville, MI 49032
Phone (269) 467-3228

500 SE Cass Ave
Ste 110
Roseburg, OR 97470
Phone (541) 677-5520

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABDFAD

Organizations & group practices 3

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": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1477066694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 E MAIN ST",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490329627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 E MAIN ST",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490329627",
            "telephone_number": "269-467-3228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23999 W 10 Mile Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480333158",
            "country_code": "US",
            "telephone_number": "248-996-8258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20241 Meyers Rd.",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48235",
            "country_code": "US",
            "telephone_number": "313-690-0289",
            "fax_number": "313-690-0289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSON-TURNER",
        "first_name": "VARNELL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, MI

Sources for this page

Verify at the official NPI Registry.