Individual provider Active NPI

Justin Alexander Caughey, LLMSW

  • Social Worker
  • East Lansing, MI
National Provider Identifier
1982289534
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801107977 Issued in MI
Practice address
5150 Wardcliff Dr
East Lansing, MI 48823-3851
Phone
(517) 346-8318
NPI assigned
Mar 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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 6801107977 MI Primary

Addresses

Primary practice location

5150 Wardcliff Dr
East Lansing, MI 48823-3851

Mailing address

812 E Jolly Rd Ste 210
Lansing, MI 48910-6825
Phone (517) 346-8275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801107977MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Authority of Clinton Eaton Ingham Counties CurrentSince Mar 21, 2021 Accepting new patients

Locations

5150 Wardcliff Dr
East Lansing, MI 48823
Phone (517) 664-5320

812 E Jolly Rd
Ste 210
Lansing, MI 48910
Phone (517) 237-7162

812 E Jolly Rd
Lansing, MI 48910
Phone (517) 237-7162

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.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1982289534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 E JOLLY RD STE 210",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489106825",
            "telephone_number": "517-346-8275",
            "fax_number": "517-346-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 WARDCLIFF DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233851",
            "telephone_number": "517-346-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUGHEY",
        "first_name": "JUSTIN",
        "middle_name": "ALEXANDER",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801107977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.