Individual provider Active NPI

Amy M Haggerty- Murphy, LMSW

  • Clinical Social Worker
  • Gaylord, MI
National Provider Identifier
1730366097
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089322 Issued in MI
Practice address
829 W Main St Ste C3
Gaylord, MI 49735-1998
Phone
(989) 732-6761
Fax
(989) 732-6763
NPI assigned
Jan 29, 2008
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801089322 MI Primary

Addresses

Primary practice location

829 W Main St Ste C3
Gaylord, MI 49735-1998

Mailing address

829 W Main St Ste C3
Gaylord, MI 49735-1998
Phone (989) 858-0048

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
I20151022000403 MI Practitioner - Clinical Social Worker 1355650953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Human Services, IncGroup PAC ID 4880586494, 14 clinicians

Practice addresses (Care Compare)

829 W Main St
Suite C 3
Gaylord, MI 49735-1998
Phone (989) 732-6761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801089322MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Human Services, Inc CurrentSince Oct 1, 2021 Accepting new patients
Catholic Human Services Inc. CurrentSince Oct 1, 2021 Accepting new patients
Catholic Charities of Michigan Incorporated Past Accepting new patients

Locations

829 W Main St
Ste C3
Gaylord, MI 49735
Phone (989) 370-9129

1000 Hastings St
Traverse City, MI 49686
Phone (231) 947-8110

Organizations & group practices 3

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": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1730366097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 W MAIN ST STE C3",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351998",
            "telephone_number": "989-858-0048",
            "fax_number": "989-732-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 W MAIN ST STE C3",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351998",
            "telephone_number": "989-732-6761",
            "fax_number": "989-732-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY- MURPHY",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.