Individual provider Active NPI

Janaki Vivekananda

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1033070529
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801120809 Issued in MI
Practice address
2446 Dorchester Dr N Apt 102
Troy, MI 48084-3752
Phone
(408) 839-3474
NPI assigned
Nov 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801120809 MI Primary

Addresses

Primary practice location

2446 Dorchester Dr N Apt 102
Troy, MI 48084-3752

Mailing address

2446 Dorchester Dr N Apt 102
Troy, MI 48084-3752
Phone (408) 839-3474

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
I20260318004083 MI Practitioner - Clinical Social Worker 0840774758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMSC Mi LLCGroup PAC ID 3779892492, 7 clinicians

Practice addresses (Care Compare)

6117 Charlevoix Woods Court SE
Grand Rapids, MI 49546-8505
Phone (855) 241-7160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801120809MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
BMSC Mi LLC Clinical CurrentSince Feb 8, 2026 Accepting new patients

Organizations & group practices 1

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": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1033070529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 DORCHESTER DR N APT 102",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843752",
            "telephone_number": "408-839-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 DORCHESTER DR N APT 102",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843752",
            "telephone_number": "408-839-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVEKANANDA",
        "first_name": "JANAKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801120809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.