Individual provider Active NPI

Patrick Walchak, LMSW

  • Clinical Social Worker
  • Okemos, MI
National Provider Identifier
1962821090
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093778 Issued in MI
Practice address
3970 Heritage Ave
Okemos, MI 48864-3344
Phone
(517) 507-5892
Fax
(517) 258-2951
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 6801093778 MI Primary

Addresses

Primary practice location

3970 Heritage Ave
Okemos, MI 48864-3344

Mailing address

3970 Heritage Ave
Okemos, MI 48864-3344
Phone (517) 507-5892

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
I20250331002921 MI Practitioner - Clinical Social Worker 4981127974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Right Direction Counseling PLLCGroup PAC ID 9638522238, 3 clinicians

Practice addresses (Care Compare)

4601 W Saginaw Hwy
Suite a
Lansing, MI 48917-2741
Phone (219) 241-3353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801093778MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
I Am Healing Therapy and Wellness Consulting PLLC Clinical CurrentSince Mar 20, 2025 Accepting new patients
Lauren Allswede PLLC PastSince Oct 1, 2024 Accepting new patients
Right Direction Counseling PLLC PastSince May 28, 2023 Accepting new patients

Locations

1795 Cedar St
Ste K
Holt, MI 48842
Phone (517) 507-5892

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1962821090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 HERITAGE AVE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643344",
            "telephone_number": "517-507-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 HERITAGE AVE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643344",
            "telephone_number": "517-507-5892",
            "fax_number": "517-258-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCHAK",
        "first_name": "PATRICK",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.