Sentience Integrated Wellness PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801097859 Issued in MI

Legal business name

SENTIENCE INTEGRATED WELLNESS PLLC

Practice address

800 Cottageview Dr
Suite 1074
Traverse City, MI 49684-2616

Phone

(231) 492-0808

Fax

(231) 492-0808

NPI assigned

Jun 9, 2015

Organization subpart

No

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

Authorized official

Name

Daniel Herd, MSW, LMSWNPI 1043607278

Title

Owner / Practitioner

Phone

(215) 801-4107

Specialties & licenses 1

Addresses

Other names 1

• Enthrive North Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Herd, MSW, LMSW

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1043607278
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1932589546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COTTAGEVIEW DR",
            "address_2": "SUITE 1074",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842616",
            "telephone_number": "231-492-0808",
            "fax_number": "231-492-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COTTAGEVIEW DR",
            "address_2": "SUITE 1074",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842616",
            "telephone_number": "231-492-0808",
            "fax_number": "231-492-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTIENCE INTEGRATED WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "HERD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER / PRACTITIONER",
        "authorized_official_telephone_number": "215-801-4107",
        "authorized_official_credential": "MSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enthrive North Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Semple
• Senior Living Personal Care
• Senior Outreach Services Inc
• Sense of Self
• Tiffany Valencia Sensoli, DDS
• Brooke Serotkin, LMT
• Shruti Sevak, M.D.
• Lynne Severt, MACCC-SLP
• Kathryn S Shaffer, M.D.
• David Shapiro, DO

• Clinical Social Worker in Traverse City, MI
• Providers in Traverse City, 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 Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.