Individual provider Active NPI

Cindy Nelson-Pouget, LMSW

  • Social Worker
  • Romeo, MI
National Provider Identifier
1720208374
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801079960 Issued in MI
Practice address
143 W Saint Clair St
Romeo, MI 48065-4657
Phone
(586) 697-0019
NPI assigned
Apr 26, 2007
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 6801079960 MI Primary
Clinical Social Worker 1041C0700X 680109940 MI

Addresses

Primary practice location

143 W Saint Clair St
Romeo, MI 48065-4657

Mailing address

143 W Saint Clair St
Romeo, MI 48065-4657
Phone (586) 697-0019

Other practice location 1

114 Orchard Lake Rd
Pontiac, MI 48341-2244
Phone (248) 858-7766 ext. 277

Other identifiers 1

IdentifierTypeStateIssuer
1883825MedicaidMI

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
I20050708000313 MI Practitioner - Clinical Social Worker 1153367446 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
680109940MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Obrien Chiropractic Clinic PC CurrentSince Aug 11, 2024 Accepting new patients
Allay Counseling PLLC Social Worker CurrentSince Jan 27, 2026 Accepting new patients
Ennis Center for Children, Inc Past Accepting new patients
Ennis Center for Children, Inc. PastSince Aug 13, 2015 Accepting new patients

Locations

143 W Saint Clair St
Romeo, MI 48065
Phone (586) 697-0019

Organizations & group practices 5

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1720208374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 W SAINT CLAIR ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480654657",
            "telephone_number": "586-697-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 W SAINT CLAIR ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480654657",
            "telephone_number": "586-697-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Orchard Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483412244",
            "country_code": "US",
            "telephone_number": "248-858-7766 x277",
            "fax_number": "248-858-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON-POUGET",
        "first_name": "CINDY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801079960",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "680109940",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1883825",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeo, MI

Sources for this page

Verify at the official NPI Registry.