Active NPI
Erich Lichtenwalter, LMSW
- Clinical Social Worker
- Benton Harbor, MI
National Provider Identifier
1780439653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801119795
- Practice address
- 133 W Main St
Benton Harbor, MI 49022-3607 - Phone
- (269) 408-2258
- Fax
- (989) 352-6435
- NPI assigned
- Apr 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801119795 | MI | Primary |
Addresses
Primary practice location
133 W Main St
Benton Harbor, MI 49022-3607
Mailing address
4709 Timberland Dr
Berrien Springs, MI 49103-1430
Phone (269) 861-4287
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 W Ferry St
Berrien Springs, MI 49103-1109
Phone (269) 815-5331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Coach Psychology PLC | Current | Accepting new patients | |
| Life Coach Psychology PLC | Current | Accepting new patients |
Locations
300 W Ferry St
Berrien Springs, MI 49103
Phone (269) 815-5331
2775 W Dickman Rd
Ste P1
Springfield, MI 49037
Phone (269) 883-6560
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.
-
- Clinical Psychologist
- Berrien Springs, MI
- NPI 1831495993
-
- Clinical Psychologist
- Anchorage, AK
- NPI 1932497617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740787200000",
"number": "1780439653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 TIMBERLAND DR",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491031430",
"telephone_number": "269-861-4287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 W MAIN ST",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490223607",
"telephone_number": "269-408-2258",
"fax_number": "989-352-6435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHTENWALTER",
"first_name": "ERICH",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-23",
"last_updated": "2025-03-01",
"certification_date": "2025-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801119795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benton Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2025; 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.