McKinzie Lin Deweerd

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801116061 Issued in MI

Practice address

37400 Garfield Rd Ste 130
Clinton Township, MI 48036-3648

Phone

(586) 213-1850

NPI assigned

Sep 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stepping Stones Counseling Center, PLLCGroup PAC ID 4688978604, 13 clinicians

Practice addresses (Care Compare)

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.

• Inner Light Therapy LLC

  • Clinical Social Worker
  • Dorr, MI
  • NPI 1336910694
  Medicare reassignment NPD Authorized official
• Stepping Stones Counseling Center, PLLC

  • Clinical Social Worker
  • Chesterfield, MI
  • NPI 1568835924
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1750998738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 TRACY TRAIL CT",
            "city": "DORR",
            "state": "MI",
            "postal_code": "493239007",
            "telephone_number": "269-908-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37400 GARFIELD RD STE 130",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363648",
            "telephone_number": "586-213-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEERD",
        "first_name": "MCKINZIE",
        "middle_name": "LIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A. Devine, REGISTERED NURSE
• Melanie Devooght
• Jeffrey Devore, MSW,LMSW,ACSW
• Mark Steven Devuyst, DDS
• Ronald J Devuyst, DDS
• Shayvon Deyampert
• Anita Deza, PHARMD
• Gina Marie Dibella, LPC
• Kathleen Dickey
• Katie Dickson

• Clinical Social Worker in Clinton Township, MI
• Providers in Clinton Township, 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 Jul 10, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.