Active NPI
Megan Giacoletto, LMSW, CAADC
- Clinical Social Worker
- Mohawk, MI
National Provider Identifier
1629588447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801109333
- Practice address
- 3539 1St Street
Mohawk, MI 49950-0219 - Phone
- (906) 369-1325
- NPI assigned
- Oct 6, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C-04326 | MI | |
| Social Worker | 104100000X | 6801100240 | MI | |
| Clinical Social Worker | 1041C0700X | 6801109333 | MI | Primary |
Addresses
Primary practice location
3539 1St Street
Mohawk, MI 49950-0219
Mailing address
PO Box 219
Mohawk, MI 49950-0219
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-04326 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6801100240 | MI | MD | Social Worker |
| 6801109333 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1629588447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 219",
"city": "MOHAWK",
"state": "MI",
"postal_code": "499500219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3539 1ST STREET",
"city": "MOHAWK",
"state": "MI",
"postal_code": "499500219",
"telephone_number": "906-369-1325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIACOLETTO",
"first_name": "MEGAN",
"name_prefix": "Ms.",
"credential": "LMSW, CAADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-06",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "C-04326",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801100240",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801109333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mohawk, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.