Active NPI
Heather Lynn Nellett, LMSW
- Clinical Social Worker
- Freeland, MI
National Provider Identifier
1588499552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801118129
- Practice address
- 220 N 3Rd St
Freeland, MI 48623-2512 - Phone
- (989) 385-0801
- NPI assigned
- Sep 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 6801118129 | MI | Primary |
Addresses
Primary practice location
220 N 3Rd St
Freeland, MI 48623-2512
Mailing address
PO Box 142
Freeland, MI 48623-0142
Phone (989) 385-0801
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801118129 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1588499552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 142",
"city": "FREELAND",
"state": "MI",
"postal_code": "486230142",
"telephone_number": "989-385-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N 3RD ST",
"city": "FREELAND",
"state": "MI",
"postal_code": "486232512",
"telephone_number": "989-385-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELLETT",
"first_name": "HEATHER",
"middle_name": "LYNN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-07",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801118129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.