Individual provider Active NPI

Emerald Harring, LLMSW

  • Social Worker
  • Gaylord, MI
National Provider Identifier
1740828557
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801104816 Issued in MI
Practice address
711 S Illinois Ave
Gaylord, MI 49735-1763
Phone
(989) 732-4357
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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 6801104816 MI Primary

Addresses

Primary practice location

711 S Illinois Ave
Gaylord, MI 49735-1763

Mailing address

PO Box 992
Gaylord, MI 49734-0992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250520001029 MI Order and Referring Only - Clinical Social Worker 5294253514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801104816MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Therapeutic Consultants PC CurrentSince Dec 15, 2019 Accepting new patients

Locations

711 S Illinois Ave
Gaylord, MI 49735
Phone (989) 732-4357

Interoperability endpoints

  • Direct secure messaging: emerald.harring.p1@direct.ejfhc.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1740828557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 992",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497340992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S ILLINOIS AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351763",
            "telephone_number": "989-732-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRING",
        "first_name": "EMERALD",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801104816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.