Michelle M Hyzer, MSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087467 Issued in MI

Practice address

1108 S Van Dyke
Bad Axe, MI 48413

Phone

(989) 269-9293

Fax

(989) 269-7544

NPI assigned

Feb 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lakeshore Therapy PLLCGroup PAC ID 9133347354, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeshore Therapy PLLC

  • Clinical Social Worker
  • Sandusky, MI
  • NPI 1699180901
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659414225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 WELCH RD",
            "city": "PORT AUSTIN",
            "state": "MI",
            "postal_code": "48467",
            "telephone_number": "989-874-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 S VAN DYKE",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "48413",
            "telephone_number": "989-269-9293",
            "fax_number": "989-269-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYZER",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huron Memorial Hospital (McLaren Thumb Region)
• Huron Memorial Hospital
• Huron Memorial Hospital Employed Physicians (Huron Medical Center Employed Physicians)
• Huron Pathology Services PC
• Huron Speech & Sensory Clinic PLLC
• Tracy Inbody
• Heather Innes
• Insight Healthcare, PLLC
• Integrated Wellness Therapies LLC
• Rashid Iqbal, MD

• Clinical Social Worker in Bad Axe, MI
• Providers in Bad Axe, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.