Individual provider Active NPI

Veronica Ann Jung, M.S.W.

  • Social Worker
  • Hillman, MI
National Provider Identifier
1497982607
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
VJ088769 Issued in MI
Practice address
610 Caring St
Hillman, MI 49746-8818
Phone
(989) 742-4583
Fax
(989) 742-2183
NPI assigned
Jun 15, 2009
Last updated
Feb 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X VJ088769 MI Primary

Addresses

Primary practice location

610 Caring St
Hillman, MI 49746-8818

Mailing address

PO Box 427
Hillman, MI 49746-0427
Phone (989) 742-4583

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
I20090729000548 MI Practitioner - Clinical Social Worker 4385797968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

21258 M 68 Hwy
Onaway, MI 49765-9663
Phone (989) 733-2082

4549 M
Onaway, MI 49765-9623
Phone (989) 733-4980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VJ088769MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thunder Bay Community Health Service, Inc Current Accepting new patients
Thunder Bay Community Health Service, Inc CurrentSince Aug 27, 2010 Accepting new patients
Thunder Bay Community Health Service, Inc CurrentSince Aug 27, 2010 Accepting new patients

Locations

11899 M 32
Atlanta, MI 49709
Phone (866) 808-7540

610 Caring St
Hillman, MI 49746
Phone (517) 742-4583

21258 M 68 Hwy
Onaway, MI 49765
Phone (989) 356-7000

4549 M 33
Onaway, MI 49765
Phone (989) 733-2700

205 S Bradley Hwy
Rogers City, MI 49779
Phone (989) 356-0141

Organizations & group practices 3

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1497982607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "HILLMAN",
            "state": "MI",
            "postal_code": "497460427",
            "telephone_number": "989-742-4583",
            "fax_number": "989-742-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 CARING ST",
            "city": "HILLMAN",
            "state": "MI",
            "postal_code": "497468818",
            "telephone_number": "989-742-4583",
            "fax_number": "989-742-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "VERONICA",
        "middle_name": "ANN",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "VJ088769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillman, MI

Sources for this page

Verify at the official NPI Registry.