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NPI · 1679969752 · NPPES-sourced

Nicole Pettibone Lmsw

ActiveSocial Worker
NPI Number
1679969752
Type 1 · Individual
Taxonomy Code
104100000X
Contact
(844) 576-9226
License MI · 6801097713
Last Updated
About 6 years ago (Jan 2020)
Enumerated 2015-04-15
Primary practice addressMI · 48075-3730
22255 Greenfield Rd Ste 550Southfield, MI 48075-3730
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About this NPIWhat this record shows.

NPI 1679969752 is registered to Nicole Pettibone Lmsw, a Social Worker practising at 22255 Greenfield Rd Ste 550 in Southfield, Michigan. Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Nicole Pettibone Lmsw has been enumerated in the National Provider Identifier (NPI) registry since 2015.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2015-04-15
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 6801097713MI· Issued by STATE OF MICHIGAN - MICHIGAN DEPARTMENT OF LICENSING & REGULATORY AFFAIRS

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Nicole Pettibone Lmsw accepts. To confirm in-network status with your specific health plan, contact Nicole Pettibone Lmsw directly at (844) 576-9226.

Frequently asked

Yes. NPI 1679969752 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (844) 576-9226.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Nicole Pettibone Lmsw is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy104100000X
Last updated2020-01
Enumerated2015-04-15
StatusActive
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