Individual provider Active NPI

Alan Vern Scott, LMSW

  • Clinical Social Worker
  • Cheboygan, MI
National Provider Identifier
1821138488
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801067671 Issued in MI
Practice address
748 S Main St
Cheboygan, MI 49721-2220
Phone
(231) 627-7118
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 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 6801067671 MI Primary

Addresses

Primary practice location

748 S Main St
Cheboygan, MI 49721-2220

Mailing address

8820 Galbraith Rd
Cheboygan, MI 49721-8501
Phone (231) 625-2871

Other practice location 1

1 MacDonald Dr
Ste B
Petoskey, MI 49770-4406
Phone (231) 347-6701 ext. 3033

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
I20050713000346 MI Practitioner - Clinical Social Worker 8224064027 Reassigns benefits to 1 organization
Practice locations: Cheboygan, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Country Community Mental HealthGroup PAC ID 8820052095, 18 clinicians

Practice addresses (Care Compare)

1420 Plaza Dr
Petoskey, MI 49770-9420
Phone (231) 347-7890

203 E Cayuga St
Bellaire, MI 49615-9180
Phone (231) 533-8619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801067671MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Community Mental Health CurrentSince Feb 1, 2007 Accepting new patients
North Country Community Mental Health Past Accepting new patients

Locations

1420 Plaza Dr
Petoskey, MI 49770
Phone (231) 347-6701

1 Macdonald Dr
Ste B
Petoskey, MI 49770
Phone 2313476701 ext. 3033

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821138488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 GALBRAITH RD",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497218501",
            "telephone_number": "231-625-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 S MAIN ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212220",
            "telephone_number": "231-627-7118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 MacDonald Dr",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497704406",
            "country_code": "US",
            "telephone_number": "231-347-6701 x3033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ALAN",
        "middle_name": "VERN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801067671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

Verify at the official NPI Registry.