Individual provider Active NPI

Jody Lynn Ingle, LMSW-C

  • Clinical Social Worker
  • Ludington, MI
National Provider Identifier
1609302686
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106810 Issued in MI
Practice address
337 N Jebavy Dr Ste B
Ludington, MI 49431-2951
Phone
(231) 936-1199
Fax
(231) 421-7725
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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 6801106810 MI Primary

Addresses

Primary practice location

337 N Jebavy Dr Ste B
Ludington, MI 49431-2951

Mailing address

337 N Jebavy Dr Ste B
Ludington, MI 49431-2951
Phone (231) 233-2776

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
I20201012000378 MI Practitioner - Clinical Social Worker 5597186296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

337 N Jebavy Dr
Ludington, MI 49431-1923
Phone (231) 936-1199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of West Michigan, LLC CurrentSince Sep 9, 2021 Accepting new patients
Innate Counseling, LLC Clinical CurrentSince Mar 3, 2021 Accepting new patients
Virtuwell Therapy, LLC PastSince Feb 4, 2024 Accepting new patients

Locations

333 Bridge St NW
Ste 1120
Grand Rapids, MI 49504
Phone 61680536601005

360 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 566-1021

337 N Jebavy Dr
Ste B
Ludington, MI 49431
Phone (231) 936-1199

337 N Jebavy Dr
Ludington, MI 49431
Phone (231) 425-3660

65 S Main St
Ste A
Rockford, MI 49341

Organizations & group practices 3

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1609302686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 N JEBAVY DR STE B",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312951",
            "telephone_number": "231-233-2776",
            "fax_number": "231-421-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 N JEBAVY DR STE B",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312951",
            "telephone_number": "231-936-1199",
            "fax_number": "231-421-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLE",
        "first_name": "JODY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

Verify at the official NPI Registry.