Individual provider Active NPI

Stephanie Segar, LLMSW

  • Clinical Social Worker
  • Allegan, MI
National Provider Identifier
1821414038
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801100085 Issued in MI
Practice address
3283 122ND Ave
Allegan, MI 49010-9590
Phone
(269) 673-3384
NPI assigned
Mar 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3802087973 MI
Clinical Social Worker 1041C0700X 6801100085 MI Primary

Addresses

Primary practice location

3283 122ND Ave
Allegan, MI 49010-9590

Mailing address

12265 James St
Holland, MI 49424-8613
Phone (616) 393-5698

Other practice location 1

12265 James St
Holland, MI 49424-8613
Phone (616) 393-5698

Other names 1

  • Stephanie Nienhuis 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
I20260528001426 MI Practitioner - Clinical Social Worker 5092285304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

376 E Apple Ave
Muskegon, MI 49442-3466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3802087973MIMDClinical Social Worker
6801100085MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allegan County Community Mental Health PastSince Jan 19, 2020 Accepting new patients

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": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1821414038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12265 JAMES ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248613",
            "telephone_number": "616-393-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3283 122ND AVE",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490109590",
            "telephone_number": "269-673-3384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12265 James St",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494248613",
            "country_code": "US",
            "telephone_number": "616-393-5698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGAR",
        "first_name": "STEPHANIE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "3802087973",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "NIENHUIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allegan, MI

Sources for this page

Verify at the official NPI Registry.