Individual provider Active NPI

Mark Allen Scheffers, LMSW, PLLC

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1871866277
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091379 Issued in MI
Practice address
605 Howard St
Kalamazoo, MI 49008-1919
Phone
(269) 350-6324
NPI assigned
Feb 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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 6801091379 MI Primary

Addresses

Primary practice location

605 Howard St
Kalamazoo, MI 49008-1919

Mailing address

605 Howard St
Kalamazoo, MI 49008-1919
Phone (269) 350-6324

Other identifiers 1

IdentifierTypeStateIssuer
2454511722MedicaidMI

Other names 1

  • Mark A. Scheffers Professional name

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
I20130423000282 MI Practitioner - Clinical Social Worker 7911143755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5985 W Main St
Kalamazoo, MI 49009-8708
Phone (269) 350-6324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1871866277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081919",
            "telephone_number": "269-350-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081919",
            "telephone_number": "269-350-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEFFERS",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "LMSW, PLLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2454511722",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "SCHEFFERS",
            "middle_name": "A.",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.