Active NPI
Lindsay Anthony-Revette, LLMSW
- Social Worker
- Bay City, MI
National Provider Identifier
1922443530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801093500
- Practice address
- 3720 Wilder Rd
Unit B
Bay City, MI 48706-2482 - Phone
- (989) 460-1000
- Fax
- (989) 460-1003
- NPI assigned
- May 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801093500 | MI | Primary |
Addresses
Primary practice location
3720 Wilder Rd
Unit B
Bay City, MI 48706-2482
Mailing address
443 N State St
Caro, MI 48723-1539
Phone (989) 672-6160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801093500 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| List Psychological Services, PLC | Social Worker | Past | Accepting new patients |
| List Psychological Services, PLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Sandusky, MI
- NPI 1174267116
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bay City, MI
- NPI 1871543421
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1922443530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 N STATE ST",
"city": "CARO",
"state": "MI",
"postal_code": "487231539",
"telephone_number": "989-672-6160",
"fax_number": "989-672-5649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 WILDER RD",
"address_2": "UNIT B",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487062482",
"telephone_number": "989-460-1000",
"fax_number": "989-460-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY-REVETTE",
"first_name": "LINDSAY",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-09",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801093500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.