Individual provider Active NPI

Michael John Snyder-Barker, LMSW CAAC

  • Clinical Social Worker
  • Tecumseh, MI
National Provider Identifier
1699970285
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801061060 Issued in MI
Practice address
106 S Maumee St
Tecumseh, MI 49286-2004
Phone
(517) 424-5438
Fax
(517) 424-0918
NPI assigned
Jun 15, 2007
Last updated
Mar 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1 00352 MI
Clinical Social Worker 1041C0700X 6801061060 MI Primary

Addresses

Primary practice location

106 S Maumee St
Tecumseh, MI 49286-2004

Mailing address

106 S Maumee St
Tecumseh, MI 49286-2004
Phone (517) 424-5438

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
I20120319000767 MI Practitioner - Clinical Social Worker 8527228147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huron Valley Consultation Center IncGroup PAC ID 5698761161, 16 clinicians

Practice addresses (Care Compare)

2750 S State St
Ann Arbor, MI 48104-6179
Phone (734) 662-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1 00352MIMDAddiction (Substance Use Disorder) Counselor
6801061060MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Valley Consultation Center Inc CurrentSince May 1, 2016 Accepting new patients
Insight Counseling of Tecumseh PastSince Jul 1, 2011 Accepting new patients

Locations

2750 S State St
Ann Arbor, MI 48104
Phone (734) 662-1986

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1699970285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S MAUMEE ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862004",
            "telephone_number": "517-424-5438",
            "fax_number": "517-424-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S MAUMEE ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862004",
            "telephone_number": "517-424-5438",
            "fax_number": "517-424-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER-BARKER",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "LMSW  CAAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "1 00352",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801061060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, MI

Sources for this page

Verify at the official NPI Registry.