Individual provider Active NPI

Michelle Lynn Hughes, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1497388540
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106112 Issued in MI
Practice address
2090 Celebration Dr NE Ste 212
Grand Rapids, MI 49525-9200
Phone
(616) 260-3354
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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 6801106112 MI Primary

Addresses

Primary practice location

2090 Celebration Dr NE Ste 212
Grand Rapids, MI 49525-9200

Mailing address

10160 Duncan Lake Ave SE
Caledonia, MI 49316-9413
Phone (616) 240-6479

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
I20200623001502 MI Practitioner - Clinical Social Worker 2668894551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2090 Celebration Dr NE
Suite 212
Grand Rapids, MI 49525-9200
Phone (616) 260-3354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801106112MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Safecare Counseling Services LLC Clinical CurrentSince Jun 1, 2020 Accepting new patients

Locations

2090 Celebration Dr NE
Ste 212
Grand Rapids, MI 49525
Phone (616) 260-3354

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1497388540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10160 DUNCAN LAKE AVE SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493169413",
            "telephone_number": "616-240-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 CELEBRATION DR NE STE 212",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259200",
            "telephone_number": "616-260-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.