Individual provider Active NPI

Alyssa Cavanaugh, LLMSW

  • Clinical Social Worker
  • Midland, MI
National Provider Identifier
1548968340
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851108056 Issued in MI
Practice address
3600 N Saginaw Rd
Midland, MI 48640-2301
Phone
(989) 510-7626
Fax
(989) 486-1554
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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 6851108056 MI Primary

Addresses

Primary practice location

3600 N Saginaw Rd
Midland, MI 48640-2301

Mailing address

3600 N Saginaw Rd
Midland, MI 48640-2301
Phone (989) 510-7626

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
I20251029000815 MI Practitioner - Clinical Social Worker 6901395144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Michigan Medical School, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1505 Waterford Pkwy
Saint Johns, MI 48879-9630

4647 W Cedar Lake Rd
Greenbush, MI 48738-9716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851108056MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton County Medical Center Psychological Services PLLC CurrentSince Sep 21, 2025 Accepting new patients
Clinton County Medical Center Psychological Services PLLC CurrentSince Sep 21, 2025 Accepting new patients

Locations

3600 N Saginaw Rd
Midland, MI 48640
Phone (989) 423-0513

1505 Waterford Pkwy
Saint Johns, MI 48879
Phone (989) 227-0710

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1548968340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402301",
            "telephone_number": "989-510-7626",
            "fax_number": "989-486-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402301",
            "telephone_number": "989-510-7626",
            "fax_number": "989-486-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "ALYSSA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851108056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.