Active NPI
Soteria Enterprises, PLLC
- Clinical Social Worker
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SOTERIA ENTERPRISES, PLLC
- Practice address
- 2575 Spring Arbor Rd Ste 300
Jackson, MI 49203-3652 - Phone
- (517) 788-8330
- Fax
- (517) 788-9768
- NPI assigned
- May 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip Raymond Barker, LMSW, ACSW, SSW
- Title
- Sole Proprietor
- Phone
- (517) 488-2077
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | 6801059321 | MI | |
| Early Intervention Provider Agency | 252Y00000X | 6801059321 | MI |
Addresses
Primary practice location
2575 Spring Arbor Rd Ste 300
Jackson, MI 49203-3652
Mailing address
2575 Spring Arbor Rd Ste 300
Jackson, MI 49203-3652
Phone (517) 788-8330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI8809 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
950 W Monroe St
Ste 500
Jackson, MI 49202
Phone (517) 788-8330
2575 Spring Arbor Rd
Ste 300
Jackson, MI 49203
Phone (517) 783-6290
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Jackson, MI
- NPI 1093112740
-
- Clinical Social Worker
- Jackson, MI
- NPI 1245398742
-
- Clinical Social Worker
- Jackson, MI
- NPI 1992863542
-
- Clinical Social Worker
- Jackson, MI
- NPI 1215178306
-
- Clinical Social Worker
- Jackson, MI
- NPI 1972850519
-
- Clinical Psychologist
- Jackson, MI
- NPI 1336157551
-
- Clinical Social Worker
- Jackson, MI
- NPI 1013278969
-
- Clinical Social Worker
- Dover AFB, DE
- NPI 1659430106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705017600000",
"number": "1992183735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 SPRING ARBOR RD STE 300",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033652",
"telephone_number": "517-788-8330",
"fax_number": "517-788-9768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 SPRING ARBOR RD STE 300",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033652",
"telephone_number": "517-788-8330",
"fax_number": "517-788-9768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOTERIA ENTERPRISES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-13",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A",
"authorized_official_last_name": "BARKER",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "517-488-2077",
"authorized_official_credential": "LMSW, ACSW, SSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6801059321",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "MI",
"license": "6801059321",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MI8809",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.