Individual provider Active NPI

Terry Lanigan, LMSW, CFT

  • Clinical Social Worker
  • Spring Lake, MI
National Provider Identifier
1528117652
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088440 Issued in MI
Practice address
14998 Cleveland St
Suite G
Spring Lake, MI 49456-8992
Phone
(616) 842-0264
Fax
(616) 842-3161
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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 6801088440 MI Primary

Addresses

Primary practice location

14998 Cleveland St
Suite G
Spring Lake, MI 49456-8992

Mailing address

15530 Thornapple Dr
Grand Haven, MI 49417-9109
Phone (616) 844-0330

Other identifiers 1

IdentifierTypeStateIssuer
200734OtherNMHEALTHNET

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
I20080108000614 MI Practitioner - Clinical Social Worker 2466532098 Practice locations: Grand Haven, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

233 Washington St
Suite 212
Grand Haven, MI 49417-1374
Phone (616) 502-0739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1528117652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15530 THORNAPPLE DR",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179109",
            "telephone_number": "616-844-0330",
            "fax_number": "231-773-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14998 CLEVELAND ST",
            "address_2": "SUITE G",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494568992",
            "telephone_number": "616-842-0264",
            "fax_number": "616-842-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIGAN",
        "first_name": "TERRY",
        "name_prefix": "Ms.",
        "credential": "LMSW, CFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "200734",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, MI

Sources for this page

Verify at the official NPI Registry.