Vonetta Reshan McGinnis, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088738 Issued in MI

Practice address

185 E Main St
Benton Harbor, MI 49022-4431

Phone

(269) 925-8222

Fax

(269) 925-8354

NPI assigned

Aug 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Intercare Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Bangor, MI
  • NPI 1326058512
  Medicare reassignment NPD
• Victory Counseling Services, LLC

  dba Victory Counseling Services

  • Clinical Social Worker
  • Benton Harbor, MI
  • NPI 1053646968
  NPD (past) Authorized official
• Intercare Community Health Network

  dba InterCare Child and Adolescent Behavioral Health Center

  • Federally Qualified Health Center (FQHC)
  • Eau Claire, MI
  • NPI 1336701119
  NPD

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1750539037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 E MAIN ST",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490224431",
            "telephone_number": "269-925-8222",
            "fax_number": "269-925-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 E MAIN ST",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490224431",
            "telephone_number": "269-925-8222",
            "fax_number": "269-925-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "VONETTA",
        "middle_name": "RESHAN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Panankosi Mbunjwa, LLMSW
• Aryenne Hali McCarver
• Micah McCree-Davis
• Autumn McCune
• Daniel Rupert McGinn, D.D.S.
• Gini McIlroy
• Melissa McIver, NP
• Brooke Savannah McKinney
• Lakesha McKinney
• Chase McLean

• Clinical Social Worker in Benton Harbor, MI
• Providers in Benton Harbor, 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 Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.