Carol L Mast, MSW, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801071977 Issued in MI

Practice address

71 Bevier St
Shelby, MI 49455-1209

Phone

(231) 861-2187

Fax

(231) 861-5100

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Mercy Health Partners

  • Certified Registered Nurse Anesthetist
  • Shelby, MI
  • NPI 1154910172

  MI

  Medicare reassignment
• Mercy Health Partners

  • Rural Health Clinic/Center
  • Shelby, MI
  • NPI 1588080030
  NPD
• Northern Clinical and Diagnostic Associates, PLLC

  • Clinical Psychologist
  • Ludington, MI
  • NPI 1922282359
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1659324978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BEVIER ST",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "494551209",
            "telephone_number": "231-861-2187",
            "fax_number": "231-861-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 BEVIER ST",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "494551209",
            "telephone_number": "231-861-2187",
            "fax_number": "231-861-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAST",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "MSW, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801071977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeshore Community Hospital, Inc.
• Lakeshore Community Hospital, Inc.
• Lakeshore Emergency Solutions, PLLC
• Shannon Marie Larson, R.D.H.
• Steven Richard Lessens, M.D.
• Mercy Health Partners
• Mercy Health Partners
• Mercy Health Partners
• Mercy Health Partners
• Mercy Health Partners

• All providers in Shelby, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.