Individual provider Active NPI

Ann Nagley

  • Clinical Social Worker
  • Midland, MI
National Provider Identifier
1891107215
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
104 W Wackerly St
Midland, MI 48640
Phone
(989) 486-3021
Fax
(989) 486-1843
NPI assigned
May 21, 2014
Last updated
Aug 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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 Primary

Addresses

Primary practice location

104 W Wackerly St
Midland, MI 48640

Mailing address

104 W Wackerly St
Midland, MI 48640-2791
Phone (989) 486-3021

Other practice location 1

1714 Eastman Ave
Midland, MI 48640-4216
Phone (989) 631-5390

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
I20171031000259 MI Practitioner - Clinical Social Worker 9234405614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

104 W Wackerly St
Midland, MI 48640-2791
Phone (989) 486-3021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Change: Psychological & Community Services, PLC CurrentSince Oct 26, 2017 Accepting new patients
Perspectives Psychological Associates of Midmichigan LLC Clinical CurrentSince Mar 15, 2021 Accepting new patients
Family & Childrens Services Mid-Michigan FCSM PastSince Sep 4, 2022 Accepting new patients

Locations

104 W Wackerly St
Midland, MI 48640
Phone (989) 486-3021

720 W Wackerly St
Ste 11
Midland, MI 48640
Phone (989) 832-2165

Organizations & group practices 3

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": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1891107215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402791",
            "telephone_number": "989-486-3021",
            "fax_number": "989-486-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "48640",
            "telephone_number": "989-486-3021",
            "fax_number": "989-486-1843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1714 Eastman Ave",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486404216",
            "country_code": "US",
            "telephone_number": "989-631-5390",
            "fax_number": "989-631-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGLEY",
        "first_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.