Active NPI
Mishell M Mathews, LMSW
- Social Worker
- Bay City, MI
National Provider Identifier
1962845370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801088664
- Practice address
- 690 S Trumbull St
Bay City, MI 48708-7692 - Phone
- (989) 922-4900
- Fax
- (989) 922-4911
- NPI assigned
- Apr 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801088664 | MI | Primary |
Addresses
Primary practice location
690 S Trumbull St
Bay City, MI 48708-7692
Mailing address
690 S Trumbull St
Bay City, MI 48708-7692
Phone (989) 922-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801088664 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Pathways Counseling Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Midland, MI
- NPI 1720343247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366070400000",
"number": "1962845370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 S TRUMBULL ST",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487087692",
"telephone_number": "989-922-4900",
"fax_number": "989-922-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 S TRUMBULL ST",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487087692",
"telephone_number": "989-922-4900",
"fax_number": "989-922-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "MISHELL",
"middle_name": "M",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-16",
"last_updated": "2013-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801088664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.