Individual provider Active NPI

Micayla Harland, LMSW, QIDP

  • Clinical Social Worker
  • Gaylord, MI
National Provider Identifier
1841703022
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801107983 Issued in MI
Practice address
657 Chestnut CT
Gaylord, MI 49735-8094
Phone
(989) 732-0034
NPI assigned
Nov 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 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 6801101691 MI
Clinical Social Worker 1041C0700X 6801107983 MI Primary

Addresses

Primary practice location

657 Chestnut CT
Gaylord, MI 49735-8094

Mailing address

657 Chestnut CT
Gaylord, MI 49735-8094

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
I20201016000409 MI Practitioner - Clinical Social Worker 6709206592 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)

657 Chestnut CT
Gaylord, MI 49735-8094
Phone (989) 732-0034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801101691MIMDClinical Social Worker
6801107983MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Truth Be Told Counseling PLC Clinical CurrentSince Sep 2, 2020 Accepting new patients
Community Home & Health Services LLC Current Accepting new patients

Locations

657 Chestnut Ct
Gaylord, MI 49735
Phone (989) 732-0034

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": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1841703022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 CHESTNUT CT",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 CHESTNUT CT",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358094",
            "telephone_number": "989-732-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLAND",
        "first_name": "MICAYLA",
        "credential": "LMSW, QIDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101691",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.