Individual provider Active NPI

Jennifer Dawn McVoy, LMSW

  • Clinical Social Worker
  • Grand Haven, MI
National Provider Identifier
1871891275
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801077678 Issued in MI
Practice address
13104 116TH Ave
Grand Haven, MI 49417-8899
Phone
(616) 405-7986
NPI assigned
Mar 9, 2011
Last updated
Mar 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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 6801077678 MI Primary

Addresses

Primary practice location

13104 116TH Ave
Grand Haven, MI 49417-8899

Mailing address

13104 116TH Ave
Grand Haven, MI 49417-8899
Phone (616) 405-7986

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
I20160119002053 MI Practitioner - Clinical Social Worker 0941502603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Out Side in IncGroup PAC ID 3870895527, 5 clinicians

Practice addresses (Care Compare)

12511 152ND Ave
Grand Haven, MI 49417-8527
Phone (616) 844-0906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Out Side in, Inc. Clinical CurrentSince Nov 4, 2015 Accepting new patients

Locations

12511 152nd Ave
Grand Haven, MI 49417
Phone (616) 402-4050

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, 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": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1871891275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13104 116TH AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494178899",
            "telephone_number": "616-405-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13104 116TH AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494178899",
            "telephone_number": "616-405-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCVOY",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801077678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.