Active NPI
Carol Seacord, LMSW,ACSW,BCD
- Clinical Social Worker
- Ada, MI
National Provider Identifier
1629118815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801018566
- Practice address
- 519 Ada Dr SE
Suite 103
Ada, MI 49301-9024 - Phone
- (616) 676-4003
- Fax
- (616) 676-4403
- NPI assigned
- Feb 7, 2007
- Last updated
- Dec 1, 2015
- 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 | 6801018566 | MI | Primary |
Addresses
Primary practice location
519 Ada Dr SE
Suite 103
Ada, MI 49301-9024
Mailing address
PO Box 554
Ada, MI 49301-0554
Phone (616) 676-4003
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050208000252 | MI | Practitioner - Clinical Social Worker | 1658322664 | Practice locations: Ada, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
519 Ada Dr SE
Suite 103
Ada, MI 49301-9024
Phone (616) 676-4003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801018566 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1629118815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 554",
"city": "ADA",
"state": "MI",
"postal_code": "493010554",
"telephone_number": "616-676-4003",
"fax_number": "616-676-4403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 ADA DR SE",
"address_2": "SUITE 103",
"city": "ADA",
"state": "MI",
"postal_code": "493019024",
"telephone_number": "616-676-4003",
"fax_number": "616-676-4403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEACORD",
"first_name": "CAROL",
"credential": "LMSW,ACSW,BCD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801018566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.