Dewitt Family Therapy L.L.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DEWITT FAMILY THERAPY L.L.C.

Practice address

12830 S US Highway 27
Dewitt, MI 48820-7982

Phone

(517) 488-1497

NPI assigned

Feb 12, 2025

Last updated

Feb 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Enterline, LMSWNPI 1003153008

Title

Mental Health Therapist

Phone

(517) 488-1497

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David A Enterline, LMSW

  • Clinical Social Worker
  • Lansing, MI
  • NPI 1003153008
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1821803099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N BRIDGE ST",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208907",
            "telephone_number": "517-488-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12830 S US HIGHWAY 27",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488207982",
            "telephone_number": "517-488-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITT FAMILY THERAPY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "ENTERLINE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "517-488-1497",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Nicole Dechatelets, RDN
• Christina Marie Denton
• Emily Devereaux
• Dewitt Dental Associates, P. C.
• Dewitt Family Dental, P.C.
• Dewitt Optometry PC
• Swetha Dharmavaram Kottam, RPH
• Divine Home Care and Staffing Solutions
• Divine Therapy Services Inc
• Mitchell Robert Dobrzelewski, OD

• Clinical Social Worker in Dewitt, MI
• Providers in Dewitt, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.