JULIETTE LEILANI NIELSEN (LMSW) – Social Worker, NPI 1225669542

JULIETTE LEILANI NIELSEN (LMSW) is a healthcare provider. based in Clare, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. The NPI Number for JULIETTE LEILANI NIELSEN (LMSW) is 1225669542

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JULIETTE LEILANI NIELSEN (LMSW)
NPI
1225669542
Phone
(989) 317-8668
Address
429 N MCEWAN ST
Enumeration Date
27 January 2020
Last Update Date
18 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9893178668
Graduation Year
2020 (6 years ago)
PAC ID
4385185685
Group Practice PAC ID
8022404656
Professional Enrollment ID
I20240925004465
Address ID
MI488583939MO1205XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for JULIETTE LEILANI NIELSEN (LMSW)

  • 429 N MCEWAN ST

    CLARE, MI 486171402

    Phone: (989) 317-8668

    Fax: (989) 355-0734

    Type: Mailing

  • 915 MULBERRY LN

    MOUNT PLEASANT, MI 488583627

    Phone: (989) 854-8298

    Type: Mailing

  • 655 E CEDAR AVE

    GLADWIN, MI 486242215

    Phone: (989) 772-5930

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240925004465IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48617)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022404656View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

What NPI should I save for JULIETTE LEILANI NIELSEN (LMSW)?
Save NPI 1225669542 if you need a stable reference for JULIETTE LEILANI NIELSEN (LMSW).
Is JULIETTE LEILANI NIELSEN (LMSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JULIETTE LEILANI NIELSEN (LMSW) work in?
You can think of JULIETTE LEILANI NIELSEN (LMSW) as practicing within Social Worker. Clinical services aligned with this taxonomy classification.
Does JULIETTE LEILANI NIELSEN (LMSW) practice in Michigan?
You will see Clare, Michigan on file for JULIETTE LEILANI NIELSEN (LMSW) alongside any extra practice locations.
Is JULIETTE LEILANI NIELSEN (LMSW) a real provider?
This page reflects official NPPES data for NPI 1225669542. Always confirm identity and privileges with the practice and licensing boards.

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