Hillarey Poffinbarger, LMSW

Key facts

NPI

1821764085

Entity type

Individual (NPI type 1)

Primary specialty

Social Worker 104100000X

License

6801118970 (MI)

Practice address

2700 S Ravenna Rd RM A101
Ravenna, MI 49451-9193

Phone

(231) 737-1335

NPI assigned

Aug 18, 2021

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Hackley Community Care Center, Inc Federally Qualified Health Center (FQHC) · Ravenna, MI · NPI 1245814946
  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 13, 2025.

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1821764085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BAKER ST FL 3",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494442157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S RAVENNA RD RM A101",
            "city": "RAVENNA",
            "state": "MI",
            "postal_code": "494519193",
            "telephone_number": "231-737-1335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Baker St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494442157",
            "country_code": "US",
            "telephone_number": "231-737-1335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POFFINBARGER",
        "first_name": "HILLAREY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851110734",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801118970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hillareypoffinbarger@hccc.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Hackley Community Care direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2700 Baker St Fl 3",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494442157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ravenna, MI

• Anne Elaine Meeuwsen, D.D.S.
• Daniel Paul Meeuwsen, D.D.S.
• Missi'S Place Counseling, PLLC
• Bonnie Jean Pline, D.O.
• Kyle Stanley Pline, DO
• Ravenna Family Practice, P.C.
• Resfeber Therapy
• Robert D & Cindy L Douglas
• Karen Danielle Rubin-Fortier, LPC
• Emma Swanson, ATC, LAT

All providers in Ravenna, MI · Social Worker in Michigan