Individual provider Active NPI

Jennifer Anne Martus I, LMSW

  • Clinical Social Worker
  • Lapeer, MI
National Provider Identifier
1578082442
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801101329 Issued in MI
Practice address
Lapeer County Community Mental Health
1570 Suncrest Dr
Lapeer, MI 48446
Phone
(248) 969-9932
NPI assigned
Sep 12, 2017
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 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 6801101329 MI Primary

Addresses

Primary practice location

Lapeer County Community Mental Health
1570 Suncrest Dr
Lapeer, MI 48446

Mailing address

1570 Suncrest Dr
Lapeer, MI 48446
Phone (248) 969-9932

Other practice location 1

1605 Fort St
Lincoln Park, MI 48146-1915
Phone (313) 382-7861

Other identifiers 1

IdentifierTypeStateIssuer
6801101329OtherMIDEPARTMENT OF LICENSING AND REGULATORY AFFIARS

Other names 1

  • Jennifer Anne Cozzens Former name

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
I20230703001684 MI Practitioner - Clinical Social Worker 8224497623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of LapeerGroup PAC ID 4183533193, 23 clinicians

Practice addresses (Care Compare)

1570 Suncrest Dr
Lapeer, MI 48446-1154
Phone (810) 667-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801101329MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lapeer CurrentSince Jul 22, 2023 Accepting new patients
County of Lapeer CurrentSince Jul 22, 2023 Accepting new patients

Locations

1570 Suncrest Dr
Lapeer, MI 48446
Phone (810) 667-0244

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1578082442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "48446",
            "telephone_number": "248-969-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAPEER COUNTY COMMUNITY MENTAL HEALTH",
            "address_2": "1570 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "48446",
            "telephone_number": "248-969-9932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 Fort St",
            "address_purpose": "LOCATION",
            "city": "Lincoln Park",
            "state": "MI",
            "postal_code": "481461915",
            "country_code": "US",
            "telephone_number": "313-382-7861",
            "fax_number": "313-389-7515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTUS",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LICENSING AND REGULATORY AFFIARS",
            "identifier": "6801101329",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COZZENS",
            "middle_name": "ANNE",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.