Individual provider Active NPI

Christie Denise Herrick, LMSW, ACSW

  • Clinical Social Worker
  • Grand Ledge, MI
National Provider Identifier
1891853883
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801070111 Issued in MI
Practice address
3630 E Saginaw Hwy
Grand Ledge, MI 48837-8434
Phone
(517) 627-5442
Fax
(517) 627-5442
NPI assigned
Dec 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801070111 MI Primary

Addresses

Primary practice location

3630 E Saginaw Hwy
Grand Ledge, MI 48837-8434

Mailing address

3630 E Saginaw Hwy
Grand Ledge, MI 48837-8434
Phone (517) 627-5442

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
I20110119000101 MI Practitioner - Clinical Social Worker 9537358825 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, shared by 20 NPIs, 698 clinicians
Gordon Counseling and Case Management PLLCGroup PAC ID 5294982005, 4 clinicians

Practice addresses (Care Compare)

1200 E Michigan Ave
Lansing, MI 48912-1838

1200 E Michigan Ave
Lansing, MI 48912-1894

1200 E Michigan Ave
Suite 500
Lansing, MI 48912-1864
Phone (517) 484-4033

1200 E Michigan Ave
Suite 500
Lansing, MI 48912-1899

1200 E Michigan Ave Lowr Level
Sparrow Pain Management Center
Lansing, MI 48912-1800
Phone (517) 364-5330

4463 Cricket Ridge Dr
Apt 202
Holt, MI 48842-2933
Phone (517) 281-5718

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Clinical CurrentSince Apr 1, 2021 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince May 1, 2022 Accepting new patients
Edward W Sparrow Hospital Association Clinical CurrentSince Apr 1, 2021 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince May 1, 2022 Accepting new patients
Gordon Counseling and Case Management PLLC Clinical CurrentSince Nov 1, 2015 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1200 E Michigan Ave
Ste 500
Lansing, MI 48912
Phone (517) 364-5123

1200 E Michigan Ave
Ste 775
Lansing, MI 48912
Phone (517) 364-5160

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891853883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 E SAGINAW HWY",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488378434",
            "telephone_number": "517-627-5442",
            "fax_number": "517-627-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 E SAGINAW HWY",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488378434",
            "telephone_number": "517-627-5442",
            "fax_number": "517-627-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "CHRISTIE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801070111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Ledge, MI

Sources for this page

Verify at the official NPI Registry.