✓ Licensed & Credentialed Social Worker (104100000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

LINDSAY ANTHONY-REVETTE, LLMSW (NPI #1922443530)

Social Worker • BAY CITY, MI • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1922443530
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
104100000X
Licensed & Credentialed Social Worker
Box 32 Service Location & ZIP+4
3720 WILDER RD, UNIT B, BAY CITY, MI, 48706-2482
✓ 9-Digit EDI 837 ZIP+4 (48706-2482)
Practice Phone & Referral Fax
Fax: (989) 460-1003
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1922443530 (LINDSAY ANTHONY-REVETTE, LLMSW) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1922443530 (NPI-1 Individual Practitioner)
Provider / Legal NameLINDSAY ANTHONY-REVETTE, LLMSW
Plain-English SpecialtyLicensed & Credentialed Social Worker
NUCC Code: 104100000X (Social Worker)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address3720 WILDER RD, UNIT B, BAY CITY, MI, 48706-2482
Practice Telephone / FaxTel: (989) 460-1000 | Fax: (989) 460-1003
Administrative Mailing Address443 N STATE ST, CARO, MI, 48723-1539
Enumeration & Last SyncEnumerated: 2013-05-09 | CMS Record Updated: 2013-05-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3720 WILDER RD, UNIT B, BAY CITY, MI, 48706-2482

🗺️ Open in Google Maps 🏥 More Providers in BAY CITY

Plain-English Taxonomy & CMS Crosswalk (104100000X)

What Does Taxonomy Code 104100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 104100000X translates to:
"Licensed & Credentialed Social Worker"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Social Worker for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LINDSAY ANTHONY-REVETTE, LLMSW)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
104100000X — Social Worker
Plain English: Licensed & Credentialed Social Worker
State: MI | License: 6801093500 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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