Individual provider Active NPI

Pamela Vanwormer

  • Clinical Social Worker
  • Standish, MI
National Provider Identifier
1962832329
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091184 Issued in MI
Practice address
1000 W Cedar St
Standish, MI 48658-9421
Phone
(989) 895-2676
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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 6801091184 MI Primary

Addresses

Primary practice location

1000 W Cedar St
Standish, MI 48658-9421

Mailing address

1000 W Cedar St
Standish, MI 48658-9421
Phone (989) 895-2676

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
I20180316002105 MI Practitioner - Clinical Social Worker 8325300056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay-Arenac Behavioral HealthGroup PAC ID 5496706228, 30 clinicians

Practice addresses (Care Compare)

1000 W Cedar St
Standish, MI 48658-9421
Phone (989) 846-4573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091184MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Solutions Therapy LLC Clinical Current Accepting new patients
Bay Arenac Behavioral Health Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1962832329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CEDAR ST",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589421",
            "telephone_number": "989-895-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CEDAR ST",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589421",
            "telephone_number": "989-895-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWORMER",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Standish, MI

Sources for this page

Verify at the official NPI Registry.