Active NPI
Nancy Ann Insidioso, LMSW
- Social Worker
- South Haven, MI
National Provider Identifier
1619086329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1007 E Wells Street
South Haven, MI 49090-9612 - Phone
- (269) 637-5297
- Fax
- (269) 637-9238
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | MI | Primary |
Addresses
Primary practice location
1007 E Wells Street
South Haven, MI 49090-9612
Mailing address
801 Hazen Street
Suite C PO Box 249
Paw Paw, MI 49079-0249
Phone (269) 657-5574
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 681063588 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Buren Community Mental Health Authority | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Paw Paw, MI
- NPI 1003878554
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1619086329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 HAZEN STREET",
"address_2": "SUITE C PO BOX 249",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490790249",
"telephone_number": "269-657-5574",
"fax_number": "269-657-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 E WELLS STREET",
"city": "SOUTH HAVEN",
"state": "MI",
"postal_code": "490909612",
"telephone_number": "269-637-5297",
"fax_number": "269-637-9238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INSIDIOSO",
"first_name": "NANCY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.