Maverick Spirits LLC
NPI 1699515999 · Clinical Social Worker · Adrian, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maverick Spirits LLC is a Clinical Social Worker organization in Adrian, MI (NPI 1699515999).
Provider details
- NPI number
- 1699515999
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kandiss Vancoppenolle, Owner(517) 442-0207
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-27
- Last updated
- 2024-05-27
- Certified
- 2024-05-26
Frequently asked questions
- What is Maverick Spirits LLC's NPI number?
- Maverick Spirits LLC's National Provider Identifier (NPI) is 1699515999, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maverick Spirits LLC?
- Maverick Spirits LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Maverick Spirits LLC located?
- Maverick Spirits LLC's practice location on file with NPPES is 3100 S Winter St Apt G11, Adrian, MI 49221-8785.
- What is Maverick Spirits LLC's phone number?
- The practice phone number listed in the NPPES registry for Maverick Spirits LLC is (517) 442-0207.
- Does Maverick Spirits LLC accept Medicare?
- Maverick Spirits LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Maverick Spirits LLC?
- The authorized official listed on Maverick Spirits LLC's NPPES record is Kandiss Vancoppenolle, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maverick Spirits LLC's NPI active?
- Yes — Maverick Spirits LLC's NPI (1699515999) is active in the NPPES registry as of the last update on 2024-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.