Individual provider Active NPI

Danette Crozier, LMSW

  • Clinical Social Worker
  • Cadillac, MI
National Provider Identifier
1912526906
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091562 Issued in MI
Practice address
805 S Carmel St
Cadillac, MI 49601-2344
Phone
(231) 775-6517
Fax
(231) 775-6587
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801091562 MI Primary

Addresses

Primary practice location

805 S Carmel St
Cadillac, MI 49601-2344

Mailing address

135 Poplar CT
Cadillac, MI 49601-9623
Phone (231) 878-5453

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
I20230317000808 MI Practitioner - Clinical Social Worker 9739553520 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Behavioral Health Group Clinical CurrentSince Feb 14, 2023 Accepting new patients

Locations

8865 Professional Dr
Ste 3
Cadillac, MI 49601
Phone (231) 285-0004

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1912526906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 POPLAR CT",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496019623",
            "telephone_number": "231-878-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S CARMEL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012344",
            "telephone_number": "231-775-6517",
            "fax_number": "231-775-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROZIER",
        "first_name": "DANETTE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.