Individual provider Active NPI

Erin Benay Martinez-Gilliard, LMSW

  • Clinical Social Worker
  • Dearborn, MI
National Provider Identifier
1013224120
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088512 Issued in MI
Practice address
15350 N Commerce Dr
Suite 204
Dearborn, MI 48120-1297
Phone
(313) 429-3766
Fax
(313) 406-6433
NPI assigned
Sep 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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 6801088512 MI Primary

Addresses

Primary practice location

15350 N Commerce Dr
Suite 204
Dearborn, MI 48120-1297

Mailing address

15350 N Commerce Dr
Suite 204
Dearborn, MI 48120-1297
Phone (313) 429-3766

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
I20120103000737 MI Practitioner - Clinical Social Worker 7214103829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15350 N Commerce Dr
Suite 204
Dearborn, MI 48120-1234
Phone (313) 203-2077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Catchers Well Being, LLC Clinical CurrentSince Oct 4, 2017 Accepting new patients
Downriver Mental Health Clinic PC Clinical Past Accepting new patients

Locations

15350 N Commerce Dr
Ste 204
Dearborn, MI 48120
Phone (248) 943-6679

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": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1013224120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15350 N COMMERCE DR",
            "address_2": "SUITE 204",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201297",
            "telephone_number": "313-429-3766",
            "fax_number": "313-406-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 N COMMERCE DR",
            "address_2": "SUITE 204",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201297",
            "telephone_number": "313-429-3766",
            "fax_number": "313-406-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-GILLIARD",
        "first_name": "ERIN",
        "middle_name": "BENAY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.