Individual provider Active NPI

Jeri Lynn Crouterfield, LMSW, CAADC

  • Clinical Social Worker
  • Midland, MI
National Provider Identifier
1497107445
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801099575 Issued in MI
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

Updated by the provider on Sep 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119003824 MI Practitioner - Clinical Social Worker 8527410018 Reassigns benefits to 2 organizations

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
Ausable Valley Community Mental Health Services BoardGroup PAC ID 2961485610, 16 clinicians
Human Kind PLLCGroup PAC ID 8123569530, 8 clinicians

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

LicenseStateTypeSpecialty
C-03651MIMDAddiction (Substance Use Disorder) Counselor
6801099575MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Human Kind P.L.L.C. Clinical CurrentSince Sep 15, 2024 Accepting new patients
Ausable Valley Community Mental Health Services Board CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.