Active NPI
Jeffrey Fleming, MSW
- Clinical Social Worker
- Lansing, MI
National Provider Identifier
1477106763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801113561
- Practice address
- 3475 Belle Chase Way
Lansing, MI 48911-4252 - Phone
- (517) 882-3732
- Fax
- (517) 882-3732
- NPI assigned
- Jul 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801113561 | MI | Primary |
Addresses
Primary practice location
3475 Belle Chase Way
Lansing, MI 48911-4252
Mailing address
1440 Sherwood Ave
East Lansing, MI 48823-1852
Phone (517) 337-1663
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Michigan State University College of Human Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1422 W Saginaw St
East Lansing, MI 48823-2434
Phone (517) 331-0949
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801113561 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Change Therapy LLC | Social Worker | Current | Accepting new patients |
Locations
1422 W Saginaw St
East Lansing, MI 48823
Phone (517) 243-6426
Organizations & group practices 1
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.
-
- Clinical Social Worker
- East Lansing, MI
- NPI 1417674383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1477106763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 SHERWOOD AVE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488231852",
"telephone_number": "517-337-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 BELLE CHASE WAY",
"city": "LANSING",
"state": "MI",
"postal_code": "489114252",
"telephone_number": "517-882-3732",
"fax_number": "517-882-3732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "JEFFREY",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-17",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801113561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.