Individual provider Active NPI

J Craig Cottrell, LMSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1609975671
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801018152 Issued in MI
Practice address
3335 S 9TH St
Kalamazoo, MI 49009-7258
Phone
(269) 552-9534
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 6801018152 MI Primary

Addresses

Primary practice location

3335 S 9TH St
Kalamazoo, MI 49009-7258

Mailing address

2008 Lakeway Ave
Kalamazoo, MI 49001-5124
Phone (269) 552-9534

Other identifiers 1

IdentifierTypeStateIssuer
2920843MedicaidMI

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
I20050412000827 MI Practitioner - Clinical Social Worker 1355388216 Practice locations: Kalamazoo, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2008 Lakeway Ave
Kalamazoo, MI 49001-5124

3335 S 9TH St
Kalamazoo, MI 49009-7258
Phone (269) 552-9534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Radiant Mind Professional Counseling Services, PLLC Clinical CurrentSince Aug 27, 2023 Accepting new patients
Health Psychology PC CurrentSince Aug 27, 2023 Accepting new patients
Summit Pointe Clinical Past Accepting new patients

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1609975671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 LAKEWAY AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490015124",
            "telephone_number": "269-552-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 S 9TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490097258",
            "telephone_number": "269-552-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "J CRAIG",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801018152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2920843",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.