Erin Dault, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087439 Issued in MI

Practice address

1352 Terrace St
Muskegon, MI 49442-3545

Phone

(231) 726-3582

Fax

(231) 722-6933

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bloom Behavioral Health Partners PLLCGroup PAC ID 3678959632, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bloom Behavioral Health Partners PLLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1174176366

  Clinical, MI

  Medicare reassignment Care Compare group NPD
• Aac on the Lakeshore, PLLC

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1821647488
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720122666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 TERRACE ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423545",
            "telephone_number": "231-726-3582",
            "fax_number": "231-722-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 TERRACE ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423545",
            "telephone_number": "231-726-3582",
            "fax_number": "231-722-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAULT",
        "first_name": "ERIN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712452",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Christine Darcy, PA-C
• Kimberly Ann Darcy, BSW
• Adam Joseph Darnell, M.D.
• Virendra K Das, MD
• Dasco HME, LLC
• Jaymi Renee Dausman
• William J Davenport, PA
• David B Jackson DDS Ms PLC
• Amber Renee Davidson
• Briana Davis, LMSW

• All providers in Muskegon, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.