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POKAGON BAND HEALTH SERVICES
NPI 1225185705
Social Worker in Dowagiac, MI

Active since January 05, 2007CLIA 23D0988592 · Waiver
32652 KNO, DOWAGIAC, MI 49047(269) 782-4141(269) 782-1236 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2019, Feb 5, 2019 (2 updates tracked since 2019).

About Pokagon Band Health Services NPPES

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

POKAGON BAND HEALTH SERVICES (NPI 1225185705), doing business as Pokagon Health Services, is a healthcare organization registered as a social worker in Dowagiac, Michigan and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through July 1, 2027, maintains a secondary practice location in Dowagiac, and lists Matt Clay, Director Of Health Services, as its authorized official.

NPPES Registry Identity

NPI1225185705
Entity TypeOrganization
Primary Taxonomy104100000X
Legal Business NamePOKAGON BAND OF POTAWATOMI INDIANS
Location Address32652 KNODowagiac, MI 49047
Mailing AddressPo Box 180Dowagiac, MI 49047-0180 · Fax (269) 782-1236
Phone(269) 782-4141
Fax(269) 782-1236
Organization SubpartYes
Authorized OfficialMatt ClayDirector Of Health Services · (269) 782-4141
Enumeration DateJanuary 5, 2007
Last NPPES UpdateSeptember 16, 20192 updates tracked since enumeration
✔ NPI 1225185705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
32652 KNO, Dowagiac, MI 49047
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Other Names 2

Other NamePokagon Band Health Services
Doing Business AsPokagon Health Services

Secondary Practice Location 1

Location 132652 KnoDowagiac, MI 49047 · Phone (269) 782-4141 · Fax (269) 782-1236

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0988592

Pokagon Band Health Services · Dowagiac, MI
Active · expires Jul 1, 2027
CLIA Number23D0988592
Laboratory TypeIndian Health Facility
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorGerald W. Morris
Laboratory Phone(269) 462-4422
Laboratory LocationPokagon Band Health Services32652 Kno Drive, Dowagiac, MI 49047
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

AMBER GAUTHIER RN CDCES
Registered Nurse (Diabetes Educator)
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 783-3187
DENISE LYNN SCHUE RPH
Pharmacist
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 782-4570
JESSICA BORRELL RD
Dietitian, Registered
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 782-4141
MISTY RAE LEDESMA NP-C
Nurse Practitioner (Primary Care)
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 782-4141
MEGAN SUSANNE SPENCER DO
Family Medicine
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 782-4141
RHONDA MILARD LCSW
Social Worker (Clinical)
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 782-4141
MADDISON LEE GOLDEN PHARMD
Pharmacist
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 782-4570
EMILY ANN SOSSOMAN NP
Nurse Practitioner (Family)
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 782-4141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pokagon Band Of Potawatomi Indians's NPI number?

The NPI number for Pokagon Band Of Potawatomi Indians is 1225185705. It was assigned to this organization in the NPPES registry on January 5, 2007. The provider is doing business as Pokagon Health Services. The provider is also known as Pokagon Band Health Services.

Where is Pokagon Band Of Potawatomi Indians located?

Pokagon Band Of Potawatomi Indians is located at 32652 Kno, Dowagiac, MI 49047. The listed phone number is (269) 782-4141.

What is Pokagon Band Of Potawatomi Indians's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Does Pokagon Band Of Potawatomi Indians hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0988592) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pokagon Band Of Potawatomi Indians was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.