Active NPI
Monica Jewell Eagle, LCSW
- Clinical Social Worker
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801113999
- Practice address
- 4925 Packard St
Ann Arbor, MI 48108-1521 - Phone
- (734) 971-9781
- NPI assigned
- Jul 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801113999 | MI | Primary |
Addresses
Primary practice location
4925 Packard St
Ann Arbor, MI 48108-1521
Mailing address
1000 Victors Way
Ann Arbor, MI 48108-2744
Phone (734) 973-6779
Other practice location 1
1000 Victors Way
Ann Arbor, MI 48108-2744
Phone (734) 973-6779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
37450 Schoolcraft Rd
Suite 170
Livonia, MI 48150-1081
Phone (734) 744-0170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hegira Health, Inc | Clinical | Current | Accepting new patients |
| Hegira Health, Inc. | Current | Accepting new patients | |
| Catholic Social Services of Washtenaw County | Current | Accepting new patients |
Locations
4925 Packard St
Ann Arbor, MI 48108
Phone (734) 971-9781
37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611
37450 Schoolcraft Rd
Ste 170
Livonia, MI 48150
Phone 7344584601235
8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westland, MI
- NPI 1184684979
Clinical
-
- Voluntary or Charitable Agency
- Ann Arbor, MI
- NPI 1679687339
-
- Clinical Social Worker
- Ann Arbor, MI
- NPI 1598167371
-
- Primary Care Clinic/Center
- Westland, MI
- NPI 1477141356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1003469842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 VICTORS WAY",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481082744",
"telephone_number": "734-973-6779",
"fax_number": "734-973-6609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4925 PACKARD ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081521",
"telephone_number": "734-971-9781"
}
],
"practiceLocations": [
{
"address_1": "1000 Victors Way",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481082744",
"country_code": "US",
"telephone_number": "734-973-6779",
"fax_number": "734-973-6609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EAGLE",
"first_name": "MONICA",
"middle_name": "JEWELL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801113999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.