Individual provider Active NPI

Matthew Mitchell, LMSW

  • Clinical Social Worker
  • Essexville, MI
National Provider Identifier
1861793598
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089493 Issued in MI
Practice address
863 N Pine Rd
Ste a
Essexville, MI 48732-2159
Phone
(989) 928-3566
Fax
(989) 391-9596
NPI assigned
Nov 11, 2010
Last updated
Apr 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801089493 MI Primary

Addresses

Primary practice location

863 N Pine Rd
Ste a
Essexville, MI 48732-2159

Mailing address

863 N Pine Rd
Ste a
Essexville, MI 48732-2159
Phone (989) 928-3566

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
I20110304000437 MI Practitioner - Clinical Social Worker 7113109646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recovery Pathways LLCGroup PAC ID 3971792326, 9 clinicians

Practice addresses (Care Compare)

1009 Washington Ave
Bay City, MI 48708-5705
Phone (989) 928-3566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801089493MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Pathways, LLC CurrentSince Jul 9, 2023 Accepting new patients
Recovery Pathways, LLC Past Accepting new patients
Recovery Pathways, LLC PastSince Jul 9, 2023 Accepting new patients

Locations

1009 Washington Ave
Bay City, MI 48708

211 N Shiawassee St
Ste A
Corunna, MI 48817
Phone (989) 494-0404

Interoperability endpoints

  • Direct secure messaging: recoverypathways.mattmitchell@146773.advancedmd-direct.com

Organizations & group practices 4

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": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1861793598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 N PINE RD",
            "address_2": "STE A",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487322159",
            "telephone_number": "989-928-3566",
            "fax_number": "989-391-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 N PINE RD",
            "address_2": "STE A",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487322159",
            "telephone_number": "989-928-3566",
            "fax_number": "989-391-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MATTHEW",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-11",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essexville, MI

Sources for this page

Verify at the official NPI Registry.