Individual provider Active NPI

Michelle Lynn Beard, LMSW

  • Clinical Social Worker
  • Eagle, MI
National Provider Identifier
1699110288
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114998 Issued in MI
Practice address
13519 Iowa Ave
Eagle, MI 48822-9557
Phone
(517) 894-5989
NPI assigned
May 8, 2013
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6802087557 MI
Clinical Social Worker 1041C0700X 6801114998 MI Primary

Addresses

Primary practice location

13519 Iowa Ave
Eagle, MI 48822-9557

Mailing address

13519 Iowa Ave
Eagle, MI 48822-9557
Phone (517) 894-5989

Other practice location 1

13519 Iowa Ave
Eagle, MI 48822-9557
Phone (517) 894-5989

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
I20221020001228 MI Practitioner - Clinical Social Worker 2860868510 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6802087557MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Authority Clinton Eaton Ingham Counties CurrentSince Jan 18, 2026 Accepting new patients

Locations

812 E Jolly Rd
Lansing, MI 48910
Phone (517) 237-7162

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, 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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1699110288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13519 IOWA AVE",
            "city": "EAGLE",
            "state": "MI",
            "postal_code": "488229557",
            "telephone_number": "517-894-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13519 IOWA AVE",
            "city": "EAGLE",
            "state": "MI",
            "postal_code": "488229557",
            "telephone_number": "517-894-5989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13519 Iowa Ave",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "MI",
            "postal_code": "488229557",
            "country_code": "US",
            "telephone_number": "517-894-5989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEARD",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802087557",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, MI

Sources for this page

Verify at the official NPI Registry.