Individual provider Active NPI

Laverne McGowan, LMSW

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1619000650
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801062488 Issued in MI
Practice address
1172 Robert T Longway Blvd
Flint, MI 48503-1851
Phone
(810) 232-8466
Fax
(810) 232-8466
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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 6801062488 MI Primary

Addresses

Primary practice location

1172 Robert T Longway Blvd
Flint, MI 48503-1851

Mailing address

1172 Robert T Longway Blvd
Flint, MI 48503-1851
Phone (810) 232-8466

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
I20041020000692 MI Practitioner - Clinical Social Worker 4183685472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Taylor Psychological Clinic P CGroup PAC ID 6901813955, 3 clinicians

Practice addresses (Care Compare)

3405 Westwood Pkwy
Flint, MI 48503-4686
Phone (810) 232-8466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Psychological Clinic P C CurrentSince Mar 20, 2012 Accepting new patients
Woodward Counseling Past Accepting new patients
Taylor Psychological Clinic P C Past Accepting new patients
Words of Encouragement Counseling Agency PC Clinical Past Accepting new patients
Alternative Community Living, Inc. PastSince Sep 24, 2023 Accepting new patients
Alternative Community Living, Inc. Past Accepting new patients

Locations

1172 Robert T Longway Blvd
Flint, MI 48503
Phone (810) 232-8466

Organizations & group practices 6

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1619000650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 ROBERT T LONGWAY BLVD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031851",
            "telephone_number": "810-232-8466",
            "fax_number": "810-232-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 ROBERT T LONGWAY BLVD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031851",
            "telephone_number": "810-232-8466",
            "fax_number": "810-232-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "LAVERNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.