Individual provider Active NPI

Georgia Ruth Bayerl, LLMSW

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1841912458
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851117206 Issued in MI
Practice address
4287 Five Oaks Drive
Lansing, MI 48911
Phone
(517) 882-4000
NPI assigned
Sep 12, 2022
Reactivated
Oct 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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 6851117206 MI Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

4287 Five Oaks Drive
Lansing, MI 48911

Mailing address

4287 Five Oaks Drive
Lansing, MI 48911
Phone (517) 374-8066

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
I20260615002376 MI Practitioner - Clinical Social Worker 2860964434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4572 S Hagadorn Rd
East Lansing, MI 48823-5385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851117206MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Charities CurrentSince Oct 28, 2024 Accepting new patients
Residential Options, Inc. Clinical PastSince Sep 1, 2022 Accepting new patients

Locations

4287 Five Oaks Dr
Lansing, MI 48911
Phone (517) 732-2114

Organizations & group practices 3

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1841912458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4287 FIVE OAKS DRIVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48911",
            "telephone_number": "517-374-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4287 FIVE OAKS DRIVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48911",
            "telephone_number": "517-882-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYERL",
        "first_name": "GEORGIA",
        "middle_name": "RUTH",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-10-03",
        "certification_date": "2022-09-12",
        "deactivation_date": "2023-09-26",
        "reactivation_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851117206",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.