Individual provider Active NPI

William Henry Noelke, MA, LPC, LMSW

  • Social Worker
  • Port Sanilac, MI
National Provider Identifier
1669560132
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801014116 Issued in MI
Practice address
595 S Lakeshore Rd
RR # 1
Port Sanilac, MI 48469-9632
Phone
(810) 622-8918
NPI assigned
Oct 10, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401002946 MI
Social Worker 104100000X 6801014116 MI Primary

Addresses

Primary practice location

595 S Lakeshore Rd
RR # 1
Port Sanilac, MI 48469-9632

Mailing address

595 S Lakeshore Rd
RR # 1
Port Sanilac, MI 48469-9632
Phone (810) 622-8918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401002946MIMDProfessional Counselor
6801014116MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669560132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 S LAKESHORE RD",
            "address_2": "RR # 1",
            "city": "PORT SANILAC",
            "state": "MI",
            "postal_code": "484699632",
            "telephone_number": "810-622-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 S LAKESHORE RD",
            "address_2": "RR # 1",
            "city": "PORT SANILAC",
            "state": "MI",
            "postal_code": "484699632",
            "telephone_number": "810-622-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOELKE",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "MA, LPC, LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401002946",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801014116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Sanilac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.