Individual provider Active NPI

Julie Duprey, LMSW

  • Clinical Social Worker
  • Novi, MI
National Provider Identifier
1003842774
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801019777 Issued in MI
Practice address
43450 W 10 Mile Rd
Novi, MI 48375-3172
Phone
(248) 344-7420
Fax
(248) 344-7423
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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 6801019777 MI Primary

Addresses

Primary practice location

43450 W 10 Mile Rd
Novi, MI 48375-3172

Mailing address

43450 W 10 Mile Rd
Novi, MI 48375-3172
Phone (248) 344-7420

Other identifiers 3

IdentifierTypeStateIssuer
300040030OtherMITAX ID
043664OtherMIBCN PIN
8008927170OtherMIBC PIN

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
I20040514001119 MI Practitioner - Clinical Social Worker 8820088479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northbrook Psychological Clinic PLCGroup PAC ID 3577456243, 4 clinicians

Practice addresses (Care Compare)

23965 Novi Rd
Novi, MI 48375-3232
Phone (248) 344-7420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northbrook Psychological Clinic PLC CurrentSince Jan 23, 2004 Accepting new patients
Bobbi Ebsen Psychotherapy LLC Clinical Past Accepting new patients

Locations

23965 Novi Rd
Ste 110
Novi, MI 48375
Phone (248) 344-3172

43450 W 10 Mile Rd
Novi, MI 48375
Phone (248) 344-7420

Organizations & group practices 2

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1003842774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43450 W 10 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753172",
            "telephone_number": "248-344-7420",
            "fax_number": "248-344-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43450 W 10 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753172",
            "telephone_number": "248-344-7420",
            "fax_number": "248-344-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREY",
        "first_name": "JULIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801019777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "300040030",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN PIN",
            "identifier": "043664",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PIN",
            "identifier": "8008927170",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.