Individual provider Active NPI

Jason Maitland

  • Clinical Social Worker
  • Alma, MI
National Provider Identifier
1982000147
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095865 Issued in MI
Practice address
608 Wright Ave
Alma, MI 48801-1600
Phone
(989) 400-5985
NPI assigned
Nov 14, 2014
Sex
Male
Sole proprietor
Yes

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.

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

LicenseStateTypeSpecialty
6801095865MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Next Step Holistic Counseling Center, LLC Clinical PastSince Jun 21, 2020 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801095865 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

608 Wright Ave
Alma, MI 48801-1600

Mailing address

608 Wright Ave
Alma, MI 48801-1600
Phone (989) 400-5985

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2014.

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1982000147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 WRIGHT AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011600",
            "telephone_number": "989-400-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WRIGHT AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011600",
            "telephone_number": "989-400-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAITLAND",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.