Individual provider Active NPI

Sarah Micklatcher, LMSW

  • Clinical Social Worker
  • Kentwood, MI
National Provider Identifier
1487211652
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801113898 Issued in MI
Practice address
2450 44TH St SE Ste 302
Kentwood, MI 49512-9081
Phone
(616) 259-5025
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 6801113898 MI Primary

Addresses

Primary practice location

2450 44TH St SE Ste 302
Kentwood, MI 49512-9081

Mailing address

715 E Charles St
Hastings, MI 49058-1373
Phone (269) 838-8727

Other practice location 1

715 E Charles St
Hastings, MI 49058-1373
Phone (269) 838-8727

Other practice location 2

300 68th St SE # D3
Grand Rapids, MI 49548-6927
Phone (616) 281-6363 ext. 3892

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220223000934 MI Practitioner - Clinical Social Worker 7214321926 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Street Services, Inc Clinical CurrentSince Apr 29, 2024 Accepting new patients
Cherry Street Services, Inc. Social Worker CurrentSince Apr 29, 2024 Accepting new patients
Pine Rest Christian Mental Health Services Social Worker CurrentSince Feb 10, 2022 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Feb 10, 2022 Accepting new patients
Community Mental Health Authority of Clinton Eaton Ingham Counties PastSince Mar 1, 2011 Accepting new patients

Locations

550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272

300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000

Interoperability endpoints

  • Direct secure messaging: sarah.micklatcher.p1@direct.cherryhealth.nextgenshare.com

Organizations & group practices 5

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1487211652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E CHARLES ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581373",
            "telephone_number": "269-838-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 44TH ST SE STE 302",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495129081",
            "telephone_number": "616-259-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 E Charles St",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MI",
            "postal_code": "490581373",
            "country_code": "US",
            "telephone_number": "269-838-8727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 68th St SE # D3",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495486927",
            "country_code": "US",
            "telephone_number": "616-281-6363 x3892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICKLATCHER",
        "first_name": "SARAH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801113898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

Verify at the official NPI Registry.