MR. NATHANIEL EDISON PONDER LMSW, CCS, CADC
NPI 1033724943
Social Worker - Clinical in Canton, MI

Q: What is Nathaniel Ponder's NPI number?

The NPI number for Nathaniel Ponder is 1033724943. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Q: What is Nathaniel Ponder's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Nathaniel Ponder was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 09, 2020PECOS Enrolled

50430 SCHOOL HOUSE RD, CANTON, MI 48187(734) 495-1722 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2026, Sep 10, 2020 (2 updates tracked since 2020).

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About Mr. Nathaniel Edison Ponder Lmsw, Ccs, Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NATHANIEL EDISON PONDER LMSW, CCS, CADC (NPI 1033724943) is an individual clinical provider in Canton, Michigan, licensed in Michigan (6801117080) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1033724943

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. NATHANIEL EDISON PONDERCredential: LMSW, CCS, CADC

Location Address50430 SCHOOL HOUSE RDCanton, MI 48187-5910

Mailing Address50430 School House RdCanton, MI 48187-5910 · (734) 495-1722

Phone(734) 495-1722

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 9, 2020

Last NPPES UpdateMay 20, 20262 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1033724943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801117080

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 2-01605 (MI)

50430 SCHOOL HOUSE RD, Canton, MI 48187

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nathaniel Edison Ponder Lmsw, Ccs, Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880162049

PECOS Enrollment IDI20260506000683

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48187 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.04 – $177.36

Typical copayment $0.00 (range $14.51 – $44.34)

Most-billed visit code NA

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANICE TOPOREK

Counselor (Addiction (Substance Use Disorder))