Nurtureher, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NURTUREHER, PLLC

Practice address

3451 N River Rd
Fort Gratiot, MI 48059-4230

Phone

(810) 300-9619

NPI assigned

Nov 15, 2023

Organization subpart

No

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

Authorized official

Name

Kelly Baker, LMSW, PMH-CNPI 1346767506

Title

Owner/Therapist

Phone

(810) 300-9619

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Baker, LMSW

  • Clinical Social Worker
  • Port Huron, MI
  • NPI 1346767506
  NPD Authorized official

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1720853146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 N RIVER RD",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594230",
            "telephone_number": "810-300-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 N RIVER RD",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594230",
            "telephone_number": "810-300-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTUREHER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "810-300-9619",
        "authorized_official_credential": "LMSW, PMH-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newco Ambulatory Surgery Center, LLP
• Newco Ambulatory Surgery Center, LLP
• Greta Amaris Nichols, LBASW
• Kelsey Elaine Noble
• Michael Gerard Noble, COTA MLD
• Sandra Lynn O'Neill, LBSW
• Neal Edward Obermyer, M.D.
• Margaret Odoherty Nelson
• Shannon Oehmke
• Sharon Olguin

• Clinical Social Worker in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.