Individual provider Active NPI

Paulette Marie Mahone

  • Clinical Social Worker
  • Romulus, MI
National Provider Identifier
1023509288
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801062937 Issued in MI
Practice address
6700 Middlebelt Rd
Romulus, MI 48174-2039
Phone
(734) 629-5000
NPI assigned
May 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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 6801062937 MI Primary

Addresses

Primary practice location

6700 Middlebelt Rd
Romulus, MI 48174-2039

Mailing address

1423 Field St
Detroit, MI 48214-2321
Phone (313) 347-2070

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
I20180711002057 MI Practitioner - Clinical Social Worker 9133475841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Well-Being ServicesGroup PAC ID 9133010176, 11 clinicians

Practice addresses (Care Compare)

1413 Field St
Detroit, MI 48214-2321
Phone (313) 347-2070

1423 Field St
Detroit, MI 48214-2321
Phone (313) 924-7860

30555 Michigan Ave
Westland, MI 48186-5310
Phone (734) 595-3640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Well Being Services CurrentSince Jun 3, 2018 Accepting new patients
All Well-Being Services CurrentSince Jun 3, 2018 Accepting new patients

Locations

1423 Field St
Detroit, MI 48214
Phone (313) 347-2070

1413 Field St
Detroit, MI 48214
Phone (313) 347-2070

6700 Middlebelt Rd
Romulus, MI 48174
Phone (734) 595-3640

30555 Michigan Ave
Westland, MI 48186
Phone (734) 595-3640

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1023509288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 FIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142321",
            "telephone_number": "313-347-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 MIDDLEBELT RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481742039",
            "telephone_number": "734-629-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONE",
        "first_name": "PAULETTE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, MI

Sources for this page

Verify at the official NPI Registry.