Individual provider Active NPI

Tory Werth, CADC

  • Social Worker
  • Charlevoix, MI
National Provider Identifier
1962944769
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
208 W Lincoln St
Charlevoix, MI 49720-1336
Phone
(231) 547-1144
NPI assigned
Nov 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

208 W Lincoln St
Charlevoix, MI 49720-1336

Mailing address

208 W Lincoln St
Charlevoix, MI 49720-1336

Other practice location 1

1250 E Michigan Ave
Grayling, MI 49738-7074
Phone (989) 348-0550

Other identifiers 1

IdentifierTypeStateIssuer
2-01050OtherMIMCBAP

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
I20220627000969 MI Practitioner - Clinical Social Worker 9931588688 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Grayling CurrentSince Feb 1, 2026 Accepting new patients
Munson Healthcare Grayling CurrentSince Feb 1, 2026 Accepting new patients
Bay Area Substance Education Services Addiction (Substance Use Disorder) Past Accepting new patients
Harbor Hall, Inc. Past Accepting new patients
Harbor Hall, Inc. Past Accepting new patients

Locations

3781 Momentum Pl
Chicago, IL 60689

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

Organizations & group practices 6

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": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1962944769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W LINCOLN ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W LINCOLN ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201336",
            "telephone_number": "231-547-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497387074",
            "country_code": "US",
            "telephone_number": "989-348-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERTH",
        "first_name": "TORY",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-09",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCBAP",
            "identifier": "2-01050",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlevoix, MI

Sources for this page

Verify at the official NPI Registry.