Individual provider Active NPI

Michelle M Finney, LMSW

  • Clinical Social Worker
  • Birch Run, MI
National Provider Identifier
1508210782
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096516 Issued in MI
Practice address
11831 Maple Rd Ste 4
Birch Run, MI 48415-8487
Phone
(810) 210-8575
Fax
(844) 273-3696
NPI assigned
Apr 14, 2016
Last updated
Jan 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 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 6801096516 MI Primary

Addresses

Primary practice location

11831 Maple Rd Ste 4
Birch Run, MI 48415-8487

Mailing address

10488 Varna St
Clio, MI 48420-1952
Phone (810) 547-1472

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
I20180329001723 MI Practitioner - Clinical Social Worker 1850653908 Practice locations: Mount Morris, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

731 E Mount Morris St
Suite 6
Mount Morris, MI 48458-2070
Phone (810) 210-8575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801096516MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Counseling Services,PLLC Mental Health CurrentSince Jan 12, 2020 Accepting new patients
Counselor Bob Inc PastSince Dec 9, 2019 Accepting new patients

Locations

11831 Maple Rd
Ste 4
Birch Run, MI 48415
Phone (248) 408-6478

731 E Mount Morris St
Ste 6
Mount Morris, MI 48458
Phone (810) 265-9746

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": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1508210782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10488 VARNA ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201952",
            "telephone_number": "810-547-1472",
            "fax_number": "810-368-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11831 MAPLE RD STE 4",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484158487",
            "telephone_number": "810-210-8575",
            "fax_number": "844-273-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNEY",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birch Run, MI

Sources for this page

Verify at the official NPI Registry.