Individual provider Active NPI

Michele Sanders, LBSW

  • Social Worker
  • Brooklyn, MI
National Provider Identifier
1760141154
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802074251 Issued in MI
Practice address
102 N Main St
Brooklyn, MI 49230-8979
Phone
(517) 592-1974
Fax
(517) 592-1975
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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 6802074251 MI Primary

Addresses

Primary practice location

102 N Main St
Brooklyn, MI 49230-8979

Mailing address

PO Box 189
Brooklyn, MI 49230-0189
Phone (517) 592-1974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6802074251MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Region II Commission on Services to the Aging CurrentSince Dec 21, 2021 Accepting new patients
Region 2 Area Agency on Aging PastSince Dec 21, 2021 Accepting new patients

Locations

102 N Main St
Brooklyn, MI 49230
Phone (517) 592-1702

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1760141154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492300189",
            "telephone_number": "517-592-1974",
            "fax_number": "517-592-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N MAIN ST",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492308979",
            "telephone_number": "517-592-1974",
            "fax_number": "517-592-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802074251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.