Individual provider Active NPI

Jarred Nathaniel Webb, LMSW

  • Clinical Social Worker
  • Brooklyn, MI
National Provider Identifier
1821567355
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851104984 Issued in MI
Practice address
176 S Main St
Brooklyn, MI 49230
Phone
(517) 550-5423
NPI assigned
Nov 14, 2018
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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 6851104984 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

176 S Main St
Brooklyn, MI 49230

Mailing address

7551 Blackman Rd
Jackson, MI 49201-7455
Phone (517) 513-5621

Other practice location 1

7551 Blackman Rd
Jackson, MI 49201-7455
Phone (646) 537-8258

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
I20220401001636 MI Practitioner - Clinical Social Worker 9739575671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Giving Tree Therapy PLLCGroup PAC ID 6103261748, 3 clinicians

Practice addresses (Care Compare)

176 S Main St
Brooklyn, MI 49230-0279
Phone (517) 550-5423

PO Box
Suite 279
Brooklyn, MI 49230-0279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851104984MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Giving Tree Therapy PLLC Clinical CurrentSince Dec 16, 2023 Accepting new patients
Acpc PLLC CurrentSince Mar 3, 2022 Accepting new patients

Locations

142 E Maumee St
Ste 3
Adrian, MI 49221
Phone (517) 263-5810

176 S Main St
Brooklyn, MI 49230
Phone (517) 474-0628

176 S Main St
Brooklyn, MI 49230
Phone (517) 550-5423

Interoperability endpoints

  • Direct secure messaging: adriancounselingandpsychiatricclinic.jarredwebb@153442.advancedmd-direct.com

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": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1821567355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 BLACKMAN RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017455",
            "telephone_number": "517-513-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S MAIN ST",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "49230",
            "telephone_number": "517-550-5423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7551 Blackman Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492017455",
            "country_code": "US",
            "telephone_number": "646-537-8258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JARRED",
        "middle_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-14",
        "last_updated": "2024-08-02",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851104984",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, MI

Sources for this page

Verify at the official NPI Registry.