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

Mr. Nathaniel Edison Ponder, LMSW, CCS, CADC

Individual provider Clinical Social Worker · NPI 1033724943

Mr. Nathaniel Edison Ponder, LMSW, CCS, CADC is a Clinical Social Worker in Canton, Michigan. Qualified in 2021, 5 years ago. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

50430 School House Rd
Canton, MI 48187-5910
Phone: (734) 495-1722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801117080 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 2-01605 (MI)

Record details

NPI number1033724943
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW , CCS , CADC
Sole proprietorNo
NPI enumeratedSeptember 9, 2020
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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