Individual provider Active NPI

Cynthia M Myers, LMSW ACSW

  • Social Worker
  • Williamsburg, MI
National Provider Identifier
1649370321
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801033337 Issued in MI
Practice address
6526 Deepwater Point Rd
Williamsburg, MI 49690-9246
Phone
(517) 627-8357
Fax
(517) 627-8972
NPI assigned
Sep 23, 2006
Last updated
Dec 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801033337 MI Primary

Addresses

Primary practice location

6526 Deepwater Point Rd
Williamsburg, MI 49690-9246

Mailing address

PO Box 10
Mason, MI 48854-0010

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
I20100526000731 MI Practitioner - Clinical Social Worker 5193707131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Ledge Counseling Center PCGroup PAC ID 9335121375, 2 clinicians

Practice addresses (Care Compare)

6526 Deepwater Point Rd
Williamsburg, MI 49690-9246
Phone (517) 627-8357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801033337MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Ledge Counseling Center PC Social Worker CurrentSince Jan 1, 2010 Accepting new patients
Anxiety Disorders CBT LLC Past Accepting new patients

Locations

207 W Jefferson St
Grand Ledge, MI 48837
Phone (517) 627-5757

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1649370321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6526 DEEPWATER POINT RD",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "496909246",
            "telephone_number": "517-627-8357",
            "fax_number": "517-627-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "LMSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801033337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, MI

Sources for this page

Verify at the official NPI Registry.