Individual provider Active NPI

Darneal M McAllister, ACSW LMSW

  • Clinical Social Worker
  • Bay City, MI
National Provider Identifier
1790894756
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801068319 Issued in MI
Practice address
916 Washington Ave Ste 205
Bay City, MI 48708-5721
Phone
(989) 755-0316
Fax
(989) 755-0956
NPI assigned
Aug 30, 2006
Last updated
Jan 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801068319 MI Primary

Addresses

Primary practice location

916 Washington Ave Ste 205
Bay City, MI 48708-5721

Mailing address

PO Box 10
Mason, MI 48854-0010

Other identifiers 4

IdentifierTypeStateIssuer
01010228OtherMIHEALTH PLUS OF MICHIGAN
1020767OtherMIMCLAREN HEALTH PLAN
800G311640OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
572488OtherMIVALUE OPTIONS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061117000045 MI Practitioner - Clinical Social Worker 3375541899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rivers Edge Recovery Center of Michigan LLCGroup PAC ID 6800157041, 2 clinicians

Practice addresses (Care Compare)

916 Washington Ave
Suite 205
Bay City, MI 48708-5721
Phone (989) 415-3143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801068319MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Corinn Denay LMSW Counseling LLC Clinical CurrentSince Aug 5, 2019 Accepting new patients
Rivers Edge Recovery Center of Michigan LLC Clinical CurrentSince Feb 1, 2018 Accepting new patients

Locations

916 Washington Ave
Ste 205
Bay City, MI 48708
Phone (989) 414-0470

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1790894756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 WASHINGTON AVE STE 205",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085721",
            "telephone_number": "989-755-0316",
            "fax_number": "989-755-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "DARNEAL",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ACSW LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801068319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MICHIGAN",
            "identifier": "01010228",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1020767",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "800G311640",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "572488",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.