Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellyn Carpenter

Individual provider Social Worker · NPI 1649790643

Ellyn Carpenter is a Clinical Social Worker in Wayland, Michigan. Qualified in 2017, 9 years ago. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017

Practice location Address checks out

1113 W Superior St
Wayland, MI 49348-1228
Phone: (616) 252-6711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801104219 (MI)

Record details

NPI number1649790643
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2017
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address1113 W Superior St, Wayland, MI 49348-1228

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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