Michelle Lynn Woodison-Evans, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801065297 Issued in MI

Practice address

15671 Algoma Ave NE
Cedar Springs, MI 49319-8864

Phone

(616) 690-0652

Fax

(616) 675-7260

NPI assigned

Apr 2, 2007

Last updated

Nov 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Michelle Lynn Kolean Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Arbor Circle Corporation

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1174601512

  Addiction (Substance Use Disorder)

  NPD (past)
• Carla Miller Ma MSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1942334669
  NPD (past)
• Telebehavioral Health US

  • Clinical Social Worker
  • Belmont, MI
  • NPI 1194252692
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1528189438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17725 WESTBROOK DR",
            "city": "CASNOVIA",
            "state": "MI",
            "postal_code": "493189631",
            "telephone_number": "616-690-0652",
            "fax_number": "616-675-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15671 ALGOMA AVE NE",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198864",
            "telephone_number": "616-690-0652",
            "fax_number": "616-675-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODISON-EVANS",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6801065297",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "443587",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528189438",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KOLEAN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Wilson, LMSW
• Craig Louis Wilson, DC
• Mary F Wilson, NP
• Tabitha Janelle Wolfson, PA-C
• Connor Michael Wolschleger, DPT, PT

• Clinical Social Worker in Cedar Springs, MI
• Providers in Cedar Springs, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.