Individual provider Active NPI

Beatrice Stachiw, LMSW CHT

  • Clinical Social Worker
  • Lapeer, MI
National Provider Identifier
1689704363
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801071882 Issued in MI
Practice address
1134 S Lapeer Rd
Lapeer, MI 48446-3042
Phone
(810) 667-4111
Fax
(810) 667-4111
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801071882 MI Primary

Addresses

Primary practice location

1134 S Lapeer Rd
Lapeer, MI 48446-3042

Mailing address

1685 Riverside Dr
#9
Rochester Hills, MI 48309-2717
Phone (248) 377-6783

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801071882MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nalo Therapy Center Clinical Past Accepting new patients
Wink Counseling Services PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689704363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 RIVERSIDE DR",
            "address_2": "#9",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092717",
            "telephone_number": "248-377-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 S LAPEER RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463042",
            "telephone_number": "810-667-4111",
            "fax_number": "810-667-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHIW",
        "first_name": "BEATRICE",
        "name_prefix": "Ms.",
        "credential": "LMSW CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801071882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.