Cedar Tree

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801070289 Issued in MI

Legal business name

CEDAR TREE

Practice address

403 E Michigan St
Marquette, MI 49855-3827

Phone

(906) 228-5494

Fax

(906) 228-5494

NPI assigned

Jan 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon William Magnuson, MSW ACSWNPI 1245299601

Title

Director

Phone

(906) 228-5494

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jon Magnuson, MSW ACSW

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1245299601
  Authorized official Same address or phone

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962553453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E MICHIGAN ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553827",
            "telephone_number": "906-228-5494",
            "fax_number": "906-228-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E MICHIGAN ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553827",
            "telephone_number": "906-228-5494",
            "fax_number": "906-228-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR TREE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAGNUSON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "906-228-5494",
        "authorized_official_credential": "MSW ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801070289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIRECTORS NPI NUMBER",
            "identifier": "1245299601",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Greer Cole LMSW PLLC
• Catholic Social Services of the U.P.
• Catholic Social Services of the Up (Catholic Charities of the Upper Peninsula)
• Caught Dreamin' Therapy, LLC
• Mark D Cecilio, MD
• Theresa Champion, MA
• Ethan Chapman, LLMSW
• Larry Chappel
• Chauntelle Taylor, LLC
• Maggie Chen, M.D.

• Clinical Social Worker in Marquette, MI
• Providers in Marquette, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.