Individual provider Active NPI

Yvette McCoy-Rodgers

  • Clinical Social Worker
  • Roseville, MI
National Provider Identifier
1003524265
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801078091 Issued in MI
Practice address
18303 E 10 Mile Rd
Roseville, MI 48066-4988
Phone
(586) 204-1576
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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 6801078091 MI Primary

Addresses

Primary practice location

18303 E 10 Mile Rd
Roseville, MI 48066-4988

Mailing address

16524 Stricker Ave
Eastpointe, MI 48021-4503
Phone (313) 595-5351

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
I20040108000511 MI Practitioner - Clinical Social Worker 4385543289 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801078091MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rodgers Assets, LLC Clinical Current Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Dec 12, 2022 Accepting new patients
Wayne Center Clinical Past Accepting new patients
Intervention Network Inc. Clinical Past Accepting new patients

Locations

18303 E 10 Mile Rd
Ste 200
Roseville, MI 48066
Phone (313) 445-6920

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

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": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1003524265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16524 STRICKER AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480214503",
            "telephone_number": "313-595-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18303 E 10 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664988",
            "telephone_number": "586-204-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY-RODGERS",
        "first_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801078091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.