Individual provider Active NPI

Joanne Elaine Nemecek, LLMSW

  • Social Worker
  • Hillsdale, MI
National Provider Identifier
1902151053
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801094441 Issued in MI
Practice address
25 Care Dr
Ste. 231
Hillsdale, MI 49242-5054
Phone
(517) 439-2609
Fax
(517) 439-2667
NPI assigned
Jul 16, 2012
Last updated
Feb 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801094441 MI Primary

Addresses

Primary practice location

25 Care Dr
Ste. 231
Hillsdale, MI 49242-5054

Mailing address

25 Care Dr
Ste. 231
Hillsdale, MI 49242-5054
Phone (517) 439-2609

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
I20170427000974 MI Practitioner - Clinical Social Worker 3577840685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Counseling and Therapy ServicesGroup PAC ID 8921385600, 7 clinicians

Practice addresses (Care Compare)

2020 Raybrook St SE
Suite 305
Grand Rapids, MI 49546-7717
Phone (616) 202-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Counseling and Therapy Services CurrentSince Jun 11, 2019 Accepting new patients

Locations

2020 Raybrook St SE
Ste 305
Grand Rapids, MI 49546
Phone (616) 202-4444

230 W Shaw St
Howard City, MI 49329
Phone (231) 937-6391

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": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1902151053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CARE DR",
            "address_2": "STE. 231",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492425054",
            "telephone_number": "517-439-2609",
            "fax_number": "517-439-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CARE DR",
            "address_2": "STE. 231",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492425054",
            "telephone_number": "517-439-2609",
            "fax_number": "517-439-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMECEK",
        "first_name": "JOANNE",
        "middle_name": "ELAINE",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801094441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

Verify at the official NPI Registry.