Individual provider Active NPI

Ellyn Carpenter

  • Social Worker
  • Wayland, MI
National Provider Identifier
1649790643
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801104219 Issued in MI
Practice address
1113 W Superior St
Wayland, MI 49348-1228
Phone
(616) 252-6711
NPI assigned
Jun 21, 2017
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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 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 Former name

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
Green means eligible to order or refer.

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

OrganizationSpecialtyStatusNew patients
Samaritas Lutheran Social Services of Michigan Social Worker CurrentSince Nov 25, 2020 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.

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

Verify at the official NPI Registry.