Individual provider Active NPI

Melissa Ann Serra, LMSW

  • Clinical Social Worker
  • Center Line, MI
National Provider Identifier
1023364635
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094450 Issued in MI
Practice address
6900 E 10 Mile Rd
Center Line, MI 48015-1168
Phone
(248) 475-6300
Fax
(248) 475-6402
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 6801094450 MI Primary

Addresses

Primary practice location

6900 E 10 Mile Rd
Center Line, MI 48015-1168

Mailing address

29755 Utica Rd
Roseville, MI 48066-4661
Phone (586) 625-6025

Other practice location 1

2925 Russell St
Detroit, MI 48207-4825
Phone (313) 396-5300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcerecords.essmichigan@direct.mihin.net Easterseals MORC Health Care, Inc.

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
I20170928000233 MI Practitioner - Clinical Social Worker 2365716412 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians
Easterseals Morc Health Care, IncGroup PAC ID 9830141670, 129 clinicians

Practice addresses (Care Compare)

24715 Little Mack Ave
Suite 200
Saint Clair Shores, MI 48080-3207
Phone (586) 777-9000

6900 E 10 Mile Rd
Easter Seals Macomb County
Center Line, MI 48015-1168
Phone (586) 501-3070

Merit-based Incentive Payment System (MIPS)

Final score
93.79 of 100Reported as group
Quality
90.17
Promoting interoperability
83
Improvement activities
40
Cost
86.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801094450MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb CurrentSince Mar 4, 2023 Accepting new patients
County of Macomb CurrentSince Mar 4, 2023 Accepting new patients
Team Wellness Center CurrentSince Aug 22, 2017 Accepting new patients
Downriver Mental Health Clinic PC Clinical CurrentSince Mar 4, 2026 Accepting new patients
Team Mental Health Services Inc. CurrentSince Aug 22, 2017 Accepting new patients
Easterseals Morc Health Care, Inc. CurrentSince Jan 3, 2018 Accepting new patients
Downriver Mental Health Clinic PC Clinical CurrentSince Mar 4, 2026 Accepting new patients

Locations

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

6900 E 10 Mile Rd
Center Line, MI 48015
Phone (586) 501-3070

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

290 Town Center Dr
Ste 400
Dearborn, MI 48126
Phone (248) 763-5289

921 Howard St
Dearborn, MI 48124
Phone (313) 274-3700

2925 Russell St
Detroit, MI 48207
Phone (313) 462-4714

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

24715 Little Mack Ave
Ste 200
St Clr Shores, MI 48080
Phone (586) 777-9000

Organizations & group practices 7

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1023364635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29755 UTICA RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664661",
            "telephone_number": "586-625-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 E 10 MILE RD",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151168",
            "telephone_number": "248-475-6300",
            "fax_number": "248-475-6402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2925 Russell St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482074825",
            "country_code": "US",
            "telephone_number": "313-396-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRA",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcerecords.essmichigan@direct.mihin.net",
            "affiliation": "Y",
            "affiliationName": "Easterseals MORC Health Care, Inc.",
            "address_1": "2399 E Walton Blvd",
            "city": "Auburn Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483261955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

Verify at the official NPI Registry.