Stephen Jay Nauta, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801086463 Issued in MI

Practice address

107 S Division St
Spring Lake, MI 49456-2015

Phone

(616) 847-0207

Fax

(616) 296-9217

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932320363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S DIVISION ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562015",
            "telephone_number": "616-847-0207",
            "fax_number": "616-296-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S DIVISION ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562015",
            "telephone_number": "616-847-0207",
            "fax_number": "616-296-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUTA",
        "first_name": "STEPHEN",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH ID",
            "identifier": "7000075971",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• New Path LLC
• Jamie Lynn Noorman, P.A.

• Clinical Social Worker in Spring Lake, MI
• Providers in Spring Lake, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.