Individual provider Active NPI

Erica Longstreet

  • Social Worker
  • Cadillac, MI
National Provider Identifier
1730693961
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
527 Cobb St
Cadillac, MI 49601-2540
Phone
(231) 775-3463
NPI assigned
Nov 27, 2017
Last updated
Nov 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

527 Cobb St
Cadillac, MI 49601-2540

Mailing address

527 Cobb St
Cadillac, MI 49601-2540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Lakes Community Mental Health Authority CurrentSince Apr 5, 2022 Accepting new patients
Northern Lakes Community Mental Health Authority CurrentSince Apr 5, 2022 Accepting new patients

Locations

527 Cobb St
Cadillac, MI 49601
Phone (231) 775-1213

105 Hall St
Unit A
Traverse City, MI 49684
Phone (231) 922-4850

Organizations & group practices 2

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": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1730693961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012540",
            "telephone_number": "231-775-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGSTREET",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.