Active NPI
Joan Marie Penfield, LMSW ACSW
- Social Worker
- Okemos, MI
National Provider Identifier
1972655959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801002116
- Practice address
- 2145 University Park
#375
Okemos, MI 48864-6902 - Phone
- (517) 347-4181
- Fax
- (517) 347-7571
- NPI assigned
- Jan 18, 2007
- 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 | 6801002116 | MI | Primary |
Addresses
Primary practice location
2145 University Park
#375
Okemos, MI 48864-6902
Mailing address
2145 University Park
#375
Okemos, MI 48864-6902
Phone (517) 347-4181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037935 | Other | MI | VALUE OPTIONS |
| 87726 | Other | MI | UBH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972655959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 UNIVERSITY PARK",
"address_2": "#375",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488646902",
"telephone_number": "517-347-4181",
"fax_number": "517-347-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 UNIVERSITY PARK",
"address_2": "#375",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488646902",
"telephone_number": "517-347-4181",
"fax_number": "517-347-7571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENFIELD",
"first_name": "JOAN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMSW ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801002116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "037935",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "87726",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.