Individual provider Active NPI

Wendy Jo Zank, LMSW

  • Social Worker
  • Stanton, MI
National Provider Identifier
1922359280
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801093825 Issued in MI
Practice address
611 N State St
Stanton, MI 48888-9702
Phone
(989) 831-7520
Fax
(989) 831-7578
NPI assigned
Sep 27, 2012
Last updated
Feb 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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 6801093825 MI Primary

Addresses

Primary practice location

611 N State St
Stanton, MI 48888-9702

Mailing address

611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520

Other identifiers 1

IdentifierTypeStateIssuer
1715928MedicaidMI

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
I20150605002397 MI Practitioner - Clinical Social Worker 1951622638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montcalm Care NetworkGroup PAC ID 8123000932, 12 clinicians

Practice addresses (Care Compare)

611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hope Christian Counseling & Mental Health Center Clinical CurrentSince Apr 15, 2015 Accepting new patients

Locations

6728 Vining Rd
Greenville, MI 48838
Phone (616) 225-8220

Organizations & group practices 2

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": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1922359280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N STATE ST",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488889702",
            "telephone_number": "989-831-7520",
            "fax_number": "989-831-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N STATE ST",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488889702",
            "telephone_number": "989-831-7520",
            "fax_number": "989-831-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANK",
        "first_name": "WENDY",
        "middle_name": "JO",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801093825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715928",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, MI

Sources for this page

Verify at the official NPI Registry.