Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lakeshore Community Hospital, Inc

Organization Clinical Social Worker · NPI 1174889604

Lakeshore Community Hospital, Inc provides Clinical Social Worker services in Hart, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

611 E Main St
Hart, MI 49420-1190 Not confirmed with CMS for 13 years — call before visiting
Phone: (231) 873-5675
Fax: (231) 873-1825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence RO009698 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence AB033570 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence PW011554 (MI)
Physician Assistant Taxonomy 363A00000X · Licence CU005544 (MI)
Physician Assistant Taxonomy 363A00000X · Licence JT003148 (MI)

Record details

NPI number1174889604
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMercy Heatlh Partners Lakeshore Campus
Authorized official Yara Villanueva — Clinic Reimbursement Coordinator · (231) 873-5675
Other names Hart Family Medical Center
NPI enumeratedApril 10, 2012
Last updated in NPPESApril 24, 2013
Mailing address611 E Main St, Hart, MI 49420-1190

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