Individual provider Active NPI

Jennifer Cifelli

  • Clinical Social Worker
  • Sault Sainte Marie, MI
National Provider Identifier
1952735979
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094845 Issued in MI
Practice address
3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286
Phone
(906) 632-2805
NPI assigned
Aug 27, 2013
Last updated
Oct 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801094845 MI Primary

Addresses

Primary practice location

3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286

Mailing address

125 N Lake St
Manistique, MI 49854-1234

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
I20151013001427 MI Practitioner - Clinical Social Worker 7517276595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hiawatha Community Behavioral Health AuthorityGroup PAC ID 3870509490, 13 clinicians

Practice addresses (Care Compare)

3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286
Phone (906) 632-2805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha Community Mental Health Authority PastSince Sep 21, 2015 Accepting new patients

Organizations & group practices 3

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": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1952735979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N LAKE ST",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 S MACKINAC TRL",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497839286",
            "telephone_number": "906-632-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIFELLI",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

Verify at the official NPI Registry.