NPIMap

Organization Active NPI

Elaine Walcott LMSW PLLC

  • Clinical Social Worker
  • Mt Pleasant, MI
National Provider Identifier
1700138526
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090306 Issued in MI
Legal business name
ELAINE WALCOTT LMSW PLLC
Practice address
500 S Main St
Suite B
Mount Pleasant, MI 48858-3100
Phone
(989) 773-0222
Fax
(989) 772-4241
NPI assigned
Oct 3, 2012
Last updated
Oct 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Elaine Walcott, LMSWNPI 1912214990
Title
Sole Member
Phone
(989) 506-1289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801090306 MI Primary

Addresses

Primary practice location

500 S Main St
Suite B
Mount Pleasant, MI 48858-3100

Mailing address

500 S Main St
Suite B
Mount Pleasant, MI 48858-3100
Phone (989) 773-0222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1700138526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S MAIN ST",
            "address_2": "SUITE B",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583100",
            "telephone_number": "989-773-0222",
            "fax_number": "989-772-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S MAIN ST",
            "address_2": "SUITE B",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583100",
            "telephone_number": "989-773-0222",
            "fax_number": "989-772-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE WALCOTT LMSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "WALCOTT",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "989-506-1289",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.