CAROLYN WATERSTRADT, PLLC
NPI 1922652783
Social Worker in Norton Shores, MI
About Carolyn Waterstradt, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLYN WATERSTRADT, PLLC (NPI 1922652783) is a healthcare organization registered as a social worker in Norton Shores, Michigan and active in the NPI registry since July 2019. The organization lists Carolyn Waterstradt, Therapist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carolyn Waterstradt, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Carolyn Waterstradt, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Carolyn Waterstradt, PLLC's NPI number?
The NPI number for Carolyn Waterstradt, PLLC is 1922652783. It was assigned to this organization in the NPPES registry on July 30, 2019.
Where is Carolyn Waterstradt, PLLC located?
Carolyn Waterstradt, PLLC is located at 800 E Ellis Rd, Norton Shores, MI 49441. The listed phone number is (231) 799-4810.
What is Carolyn Waterstradt, PLLC's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Carolyn Waterstradt, PLLC enrolled in Medicare?
Yes. Carolyn Waterstradt, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carolyn Waterstradt, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Carolyn Waterstradt, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Carolyn Waterstradt, PLLC accept?
Health plans from Blue Care Network of Michigan list Carolyn Waterstradt, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carolyn Waterstradt, PLLC was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Carolyn Waterstradt, Pllc · NPI 1922652783
Social Worker organization in Norton Shores, Michigan. Organization record, active in the CMS NPPES registry since July 30, 2019.
## Identity
- **NPI:** 1922652783 (Entity type: Organization)
- **Enumerated:** July 30, 2019
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **Organization subpart:** No
- **Authorized official:** Carolyn Waterstradt, THERAPIST/OWNER
## Practice location
- **Address:** 800 E ELLIS RD, Norton Shores, MI 49441-5646
- **Phone:** (231) 799-4810
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1922652783) · Data from the CMS NPPES public registry.