Active NPI
Ellyn Carpenter
- Social Worker
- Wayland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801104219
- Practice address
- 1113 W Superior St
Wayland, MI 49348-1228 - Phone
- (616) 252-6711
- NPI assigned
- Jun 21, 2017
- Last updated
- Aug 5, 2026
- 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 | 6801104219 | MI | Primary |
Addresses
Primary practice location
1113 W Superior St
Wayland, MI 49348-1228
Mailing address
1113 W Superior St
Wayland, MI 49348-1228
Phone (616) 252-6711
Other names 1
- Ellyn Schwickrath
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
128 S Cochran Ave
Charlotte, MI 48813-1510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritas Lutheran Social Services of Michigan | Social Worker | Current | Accepting new patients |
Locations
420 Covered Vlg
Belding, MI 48809
Phone (616) 215-2307
128 S Cochran Ave
Charlotte, MI 48813
Phone (517) 231-8434
8131 E Jefferson Ave
Detroit, MI 48214
Phone (313) 823-7700
524 Washington Ave
Grand Haven, MI 49417
Phone (616) 516-9985
6756 S Greenville Rd
Greenville, MI 48838
Phone (616) 481-3784
2450 Van Ommen Dr
Ste C
Holland, MI 49424
Phone (616) 350-7781
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction (Substance Use Disorder) Counselor
- Charlotte, MI
- NPI 1972860005
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1649790643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 W SUPERIOR ST",
"city": "WAYLAND",
"state": "MI",
"postal_code": "493481228",
"telephone_number": "616-252-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 W SUPERIOR ST",
"city": "WAYLAND",
"state": "MI",
"postal_code": "493481228",
"telephone_number": "616-252-6711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "ELLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801104219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLYN",
"last_name": "SCHWICKRATH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wayland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.