Individual provider Active NPI

Monica Jewell Eagle, LCSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1003469842
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801113999 Issued in MI
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

Updated by the provider on Nov 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118000985 MI Practitioner - Clinical Social Worker 0840642526 Reassigns benefits to 3 organizations

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
Hegira Health IncGroup PAC ID 3173429560, 41 clinicians

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

OrganizationSpecialtyStatusNew patients
Hegira Health, Inc Clinical CurrentSince Jul 12, 2025 Accepting new patients
Hegira Health, Inc. CurrentSince Jul 12, 2025 Accepting new patients
Catholic Social Services of Washtenaw County CurrentSince Nov 5, 2024 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.

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

Verify at the official NPI Registry.