Inner Dawn LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

INNER DAWN LLC

Practice address

257 S Main St Ste 2
Onsted, MI 49265-9682

Phone

(517) 292-3305

NPI assigned

Feb 25, 2018

Organization subpart

No

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

Authorized official

Name

Nichole Bellfy, CSWNPI 1255612164

Title

Licensed Clinical Social Worker

Phone

(517) 292-3305

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nichole C Bellfy

  • Clinical Social Worker
  • Onsted, MI
  • NPI 1255612164
  Medicare reassignment NPD Authorized official
• Brian Patrick Miklos, L.M.S.W.

  • Social Worker
  • Onsted, MI
  • NPI 1932452414
  NPD

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

{
    "created_epoch": "1519516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1982105995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "517-676-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 S MAIN ST STE 2",
            "city": "ONSTED",
            "state": "MI",
            "postal_code": "492659682",
            "telephone_number": "517-292-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER DAWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-25",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "BELLFY",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "517-292-3305",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Onsted, MI
• Providers in Onsted, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.