Individual provider Active NPI

Aubrie Elizabeth Wooden, LMSW

  • Clinical Social Worker
  • Portage, MI
National Provider Identifier
1538700596
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119125 Issued in MI
Practice address
6100 Newport Rd Ste 222
Portage, MI 49002-9235
Phone
(269) 488-5929
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801105686 MI
Clinical Social Worker 1041C0700X 6801119125 MI Primary

Addresses

Primary practice location

6100 Newport Rd Ste 222
Portage, MI 49002-9235

Mailing address

6100 Newport Rd Ste 222
Portage, MI 49002-9235
Phone (269) 488-5929

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Portage

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
I20250409000872 MI Practitioner - Clinical Social Worker 6901320167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joy Unlimited Counseling Center PLCGroup PAC ID 7810250073, 3 clinicians

Practice addresses (Care Compare)

6100 Newport Rd
Suite 222
Portage, MI 49002-9235
Phone (269) 961-8589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801105686MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Unlimited Counseling Center, PLC Clinical CurrentSince Mar 1, 2025 Accepting new patients

Locations

6100 Newport Rd
Ste 222
Portage, MI 49002
Phone (269) 324-1248

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1538700596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 NEWPORT RD STE 222",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490029235",
            "telephone_number": "269-488-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 NEWPORT RD STE 222",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490029235",
            "telephone_number": "269-488-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODEN",
        "first_name": "AUBRIE",
        "middle_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801105686",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Portage",
            "affiliation": "N",
            "address_1": "6100 Newport Rd Ste 222",
            "city": "Portage",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490029235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.