Individual provider Active NPI

Todd Charles Becker, LMSW

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1568979839
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6802089782 Issued in MI
Practice address
6639 Centurion Dr Ste 130
Lansing, MI 48917-8273
Phone
(517) 322-3050
Fax
(517) 709-7701
NPI assigned
Jan 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 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 6802089782 MI Primary

Addresses

Primary practice location

6639 Centurion Dr Ste 130
Lansing, MI 48917-8273

Mailing address

6639 Centurion Dr Ste 130
Lansing, MI 48917-8273
Phone (517) 322-3050

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
I20230928001900 MI Practitioner - Clinical Social Worker 9133573884 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
Fandh Behavioral Health, PCGroup PAC ID 9830527159, 3 clinicians

Practice addresses (Care Compare)

6639 Centurion Dr
Suite 130
Lansing, MI 48917-8273
Phone (517) 322-3050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6802089782MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Michigan Recovery Services, Inc. Past Accepting new patients

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": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1568979839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6639 CENTURION DR STE 130",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178273",
            "telephone_number": "517-322-3050",
            "fax_number": "517-709-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6639 CENTURION DR STE 130",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178273",
            "telephone_number": "517-322-3050",
            "fax_number": "517-709-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "TODD",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-08",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802089782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.