Jodie Jones, LLMSW
Individual provider Active NPI Clinical Social Worker · Peck, MI
NPI 1477097905 · NPPES record last updated Dec 19, 2016
Key facts
- NPI
- 1477097905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801100346 (MI)
- Practice address
- 5364 N Elk St
Peck, MI 48466-9677 - Phone
- (810) 488-0136
- NPI assigned
- Dec 19, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5364 N Elk St
Peck, MI 48466-9677
Phone (810) 878-5050
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190402000590 | MI | Practitioner - Clinical Social Worker | 7416298492 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801100346 | MI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Counseling and Wellness Center, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801100346 | MI | |
| Clinical Social Worker | 1041C0700X | 6801100346 | MI | Yes |
| Marriage & Family Therapist | 106H00000X | 6801100346 | MI |
Addresses
Primary practice location
5364 N Elk St
Peck, MI 48466-9677
Mailing address
5364 N Elk St
Peck, MI 48466-9677
Phone (810) 488-0136
Other providers in Peck, MI
- Flushing Association in Transitional Housing Inc.
- Great Lakes Counseling and Wellness Center, LLC
- Great Lakes Healthcare, PLLC
- Cole Hamblin
- Stephanie A Hebberd
- Candace Kidd
- Martinez Afc
- McKenzie Memorial Hospital
- Dawn Kelly Richardson
- Leslie Vogel
All providers in Peck, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.