Individual provider Active NPI

Hunter Dumas

  • Clinical Social Worker
  • Fenton, MI
National Provider Identifier
1881473668
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851117272 Issued in MI
Practice address
15173 North Rd Ste 100
Fenton, MI 48430-1381
Phone
(810) 771-4074
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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 6851117272 MI Primary

Addresses

Primary practice location

15173 North Rd Ste 100
Fenton, MI 48430-1381

Mailing address

2336 Burwood CT
Highland, MI 48357-3017
Phone (248) 505-1998

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
I20260323002533 MI Practitioner - Clinical Social Worker 7214411784 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)

10801 S Saginaw St
Suite D
Grand Blanc, MI 48439-8126

10801 S Saginaw St D
Grand Blanc, MI 48439-8126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851117272MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Counseling Group LLC Clinical CurrentSince Dec 19, 2023 Accepting new patients

Locations

15173 North Rd
Ste 100
Fenton, MI 48430
Phone (810) 208-0879

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": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1881473668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 BURWOOD CT",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483573017",
            "telephone_number": "248-505-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15173 NORTH RD STE 100",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301381",
            "telephone_number": "810-771-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAS",
        "first_name": "HUNTER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851117272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.