Individual provider Active NPI

Patricia Lauren Berthelot, LMSW

  • Clinical Social Worker
  • Grand Ledge, MI
National Provider Identifier
1689044406
Registry record updated Aug 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098702 Issued in MI
Practice address
311 Harrison St
Grand Ledge, MI 48837-1577
Phone
(517) 338-3090
NPI assigned
Oct 6, 2015
Last updated
Aug 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801098702 MI Primary

Addresses

Primary practice location

311 Harrison St
Grand Ledge, MI 48837-1577

Mailing address

8448 Valley Rd NW
Rapid City, MI 49676-9516
Phone (231) 944-0384

Other practice location 1

880 Munson Ave Ste G
Traverse City, MI 49686-3661
Phone (231) 944-0384

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200106000429 MI Practitioner - Clinical Social Worker 5496189128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Counseling Services of Greater Lansing LLCGroup PAC ID 5597148007, 11 clinicians

Practice addresses (Care Compare)

311 Harrison St
Grand Ledge, MI 48837-1577
Phone (517) 338-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801098702MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling Services of Greater Lansing LLC Clinical CurrentSince Oct 1, 2023 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Apr 28, 2021 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 382-8207

100 W Saginaw Hwy
Ste B
Grand Ledge, MI 48837
Phone (517) 331-3142

311 Harrison St
Grand Ledge, MI 48837
Phone (517) 338-3090

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Organizations & group practices 3

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787443200000",
    "number": "1689044406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8448 VALLEY RD NW",
            "city": "RAPID CITY",
            "state": "MI",
            "postal_code": "496769516",
            "telephone_number": "231-944-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 HARRISON ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371577",
            "telephone_number": "517-338-3090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Munson Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863661",
            "country_code": "US",
            "telephone_number": "231-944-0384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTHELOT",
        "first_name": "PATRICIA",
        "middle_name": "LAUREN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Ledge, MI

Sources for this page

Verify at the official NPI Registry.