Active NPI
Caroline Nowaczyk, LMSW
- Clinical Social Worker
- Bay City, MI
National Provider Identifier
1548297799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801060534
- Practice address
- 3741 Wilder Rd
Suite a
Bay City, MI 48706-2343 - Phone
- (989) 460-1000
- Fax
- (989) 460-1003
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801060534 | MI | Primary |
Addresses
Primary practice location
3741 Wilder Rd
Suite a
Bay City, MI 48706-2343
Mailing address
467 N State St
Caro, MI 48723-1539
Phone (989) 672-6160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| List Psychological Services, PLC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Sandusky, MI
- NPI 1174267116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1548297799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 N STATE ST",
"city": "CARO",
"state": "MI",
"postal_code": "487231539",
"telephone_number": "989-672-6160",
"fax_number": "989-672-6272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3741 WILDER RD",
"address_2": "SUITE A",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487062343",
"telephone_number": "989-460-1000",
"fax_number": "989-460-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWACZYK",
"first_name": "CAROLINE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801060534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.