Active NPI
Jeri Lynn Crouterfield, LMSW, CAADC
- Clinical Social Worker
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801099575
- Practice address
- 133 N Saginaw Rd
Midland, MI 48640-3350 - Phone
- (989) 631-0241
- Fax
- (989) 631-0242
- NPI assigned
- Jul 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C-03651 | MI | |
| Clinical Social Worker | 1041C0700X | 6801099575 | MI | Primary |
Addresses
Primary practice location
133 N Saginaw Rd
Midland, MI 48640-3350
Mailing address
5908 Sturgeon Ave
Midland, MI 48640-3237
Phone (989) 495-3075
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
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
511 Griffin Rd
West Branch, MI 48661-9251
Phone (989) 345-5571
9790 Gratiot Rd
Suite 5
Saginaw, MI 48609-9473
Phone (989) 249-3671
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-03651 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6801099575 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Kind P.L.L.C. | Clinical | Current | Accepting new patients |
| Ausable Valley Community Mental Health Services Board | Current | Accepting new patients |
Locations
5275 Colony Dr N
Saginaw, MI 48638
Phone (989) 249-3671
9790 Gratiot Rd
Ste 5
Saginaw, MI 48609
Phone (989) 213-5960
1199 Harris Ave
Tawas City, MI 48763
Phone (517) 362-7800
511 Griffin Rd
West Branch, MI 48661
Phone (989) 345-5540
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Tawas City, MI
- NPI 1417011701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1497107445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5908 STURGEON AVE",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486403237",
"telephone_number": "989-495-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 N SAGINAW RD",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486403350",
"telephone_number": "989-631-0241",
"fax_number": "989-631-0242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUTERFIELD",
"first_name": "JERI",
"middle_name": "LYNN",
"credential": "LMSW, CAADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-01",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "C-03651",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801099575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.