Individual provider Active NPI

Michelle L Gregory, MSW

  • Clinical Social Worker
  • South Bend, IN
National Provider Identifier
1801925763
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005355A Issued in IN
Practice address
403 E Madison St
South Bend, IN 46617-2322
Phone
(574) 283-1107
Fax
(574) 283-1131
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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 34005355A IN Primary

Addresses

Primary practice location

403 E Madison St
South Bend, IN 46617-2322

Mailing address

51924 Lake Knoll CT
Granger, IN 46530-8878
Phone (574) 271-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180420001973 IN Practitioner - Clinical Social Worker 4688937824 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34005355AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
McArthur Mental Health Services CurrentSince Apr 11, 2018 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 14, 2024 Accepting new patients
McArthur Mental Health Services PastSince Apr 11, 2018 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3120B Windsor Ct
Elkhart, IN 46514
Phone (574) 264-3344

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

3201 E Center Street Ext
Warsaw, IN 46582
Phone (574) 253-2220

Organizations & group practices 3

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1801925763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51924 LAKE KNOLL CT",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308878",
            "telephone_number": "574-271-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E MADISON ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172322",
            "telephone_number": "574-283-1107",
            "fax_number": "574-283-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005355A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.