Individual provider Active NPI

Margaret Lebo

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1871745463
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090226 Issued in MI
Practice address
3330 Claystone St SE
Grand Rapids, MI 49546-7716
Phone
(800) 968-6866
Fax
(616) 532-7230
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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 6801090226 MI Primary

Addresses

Primary practice location

3330 Claystone St SE
Grand Rapids, MI 49546-7716

Mailing address

PO Box 30516
Lansing, MI 48909-8016
Phone (800) 968-6866

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
I20090407000487 MI Practitioner - Clinical Social Worker 5890842926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3501 Lake Eastbrook Blvd SE
Suite 259
Grand Rapids, MI 49546-5938
Phone (616) 682-5194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Counseling and Therapy Social Worker CurrentSince Sep 21, 2019 Accepting new patients
Advanced Counseling and Therapy Services Clinical CurrentSince Feb 25, 2017 Accepting new patients
Right Direction Counseling PLLC PastSince May 28, 2023 Accepting new patients
Claystone Clinical Associates PLC PastSince May 26, 2024 Accepting new patients

Locations

2020 Raybrook St SE
Ste 305
Grand Rapids, MI 49546
Phone (616) 202-4444

3501 Lake Eastbrook Blvd SE
Ste 259
Grand Rapids, MI 49546
Phone (616) 401-3051

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1871745463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30516",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489098016",
            "telephone_number": "800-968-6866",
            "fax_number": "616-532-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CLAYSTONE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467716",
            "telephone_number": "800-968-6866",
            "fax_number": "616-532-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBO",
        "first_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.