Individual provider Active NPI

Danyelle Barber

  • Social Worker
  • Sterling, MI
National Provider Identifier
1821407321
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802087991 Issued in MI
Practice address
725 E State St
Sterling, MI 48659-9548
Phone
(989) 654-2491
Fax
(989) 654-2348
NPI assigned
Aug 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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 6802087991 MI Primary

Addresses

Primary practice location

725 E State St
Sterling, MI 48659-9548

Mailing address

725 E State St
Sterling, MI 48659-9548
Phone (989) 654-2491

Other names 1

  • Danyelle Wagner Former name

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
I20201229002589 MI Practitioner - Clinical Social Worker 2668885146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2222 W Grand River Ave
Suite a
Okemos, MI 48864-1604
Phone (989) 403-0192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6802087991MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sisu Michigan LLC CurrentSince Jan 1, 2023 Accepting new patients
Cobalt Nature Center, PLLC PastSince May 14, 2023 Accepting new patients

Locations

2222 W Grand River Ave
Ste A
Okemos, MI 48864
Phone (734) 602-4635

529 S Main St
Ste C
Standish, MI 48658
Phone (989) 403-0192

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": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1821407321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E STATE ST",
            "city": "STERLING",
            "state": "MI",
            "postal_code": "486599548",
            "telephone_number": "989-654-2491",
            "fax_number": "989-654-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E STATE ST",
            "city": "STERLING",
            "state": "MI",
            "postal_code": "486599548",
            "telephone_number": "989-654-2491",
            "fax_number": "989-654-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "DANYELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802087991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANYELLE",
            "last_name": "WAGNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sterling, MI

Sources for this page

Verify at the official NPI Registry.