Active NPI
John Nathan Seppo, MA, LBSW
- Social Worker
- Fort Gratiot, MI
National Provider Identifier
1881708428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802060252
- Practice address
- 3847 Pine Grove Avenue
Fort Gratiot, MI 48059 - Phone
- (810) 985-4009
- Fax
- (810) 985-9498
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802060252 | MI | Primary |
Addresses
Primary practice location
3847 Pine Grove Avenue
Fort Gratiot, MI 48059
Mailing address
4158 Atkins Road
Port Huron, MI 48060
Phone (810) 987-2653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802060252 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881708428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4158 ATKINS ROAD",
"city": "PORT HURON",
"state": "MI",
"postal_code": "48060",
"telephone_number": "810-987-2653",
"fax_number": "810-984-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3847 PINE GROVE AVENUE",
"city": "FORT GRATIOT",
"state": "MI",
"postal_code": "48059",
"telephone_number": "810-985-4009",
"fax_number": "810-985-9498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPPO",
"first_name": "JOHN",
"middle_name": "NATHAN",
"name_prefix": "Mr.",
"credential": "MA, LBSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802060252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Gratiot, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.