Individual provider Active NPI

Patricia A Wood, LMSW

  • Clinical Social Worker
  • Whitehall, MI
National Provider Identifier
1689868663
Registry record updated Sep 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801017827 Issued in MI
Practice address
1 Misco Dr
Whitehall, MI 49461-1755
Phone
(231) 894-7549
NPI assigned
Sep 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 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 6801017827 MI Primary

Addresses

Primary practice location

1 Misco Dr
Whitehall, MI 49461-1755

Mailing address

6136 Duck Lake Rd
Whitehall, MI 49461-9679
Phone (231) 894-7549

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
I20090813000324 MI Practitioner - Clinical Social Worker 8628122447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia a Wood Employee Assistance Services LLC CurrentSince May 10, 2009 Accepting new patients

Locations

1105 Johnson St
Whitehall, MI 49461
Phone (231) 894-7549

1 Misco Dr
Whitehall, MI 49461
Phone (231) 894-7549

124 S Mears Ave
Whitehall, MI 49461
Phone (231) 730-2273

Organizations & group practices 1

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": "1188604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188604800000",
    "number": "1689868663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 DUCK LAKE RD",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494619679",
            "telephone_number": "231-894-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MISCO DR",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611755",
            "telephone_number": "231-894-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-01",
        "last_updated": "2007-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801017827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, MI

Sources for this page

Verify at the official NPI Registry.