Individual provider Active NPI

Amy Leigh Perugi, LMSW

  • Clinical Social Worker
  • Clinton TWP, MI
National Provider Identifier
1033260187
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801082558 Issued in MI
Practice address
37772 Charter Oaks Blvd
Clinton TWP, MI 48036-4435
Phone
(586) 277-6192
Fax
(586) 948-8758
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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 6801082558 MI Primary

Addresses

Primary practice location

37772 Charter Oaks Blvd
Clinton TWP, MI 48036-4435

Mailing address

37772 Charter Oaks Blvd
Clinton TWP, MI 48036-4435
Phone (734) 674-4772

Other practice location 1

4501 24 Mile Rd Ste B
Shelby Twp, MI 48316-3005
Phone (586) 422-7608

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
I20111105000085 MI Practitioner - Clinical Social Worker 6800069972 Reassigns benefits to 2 organizations

Care Compare profile

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

Practice addresses (Care Compare)

Clinton Township, MI 48036
Phone (586) 277-6192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801082558MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
De Marillac Counseling LLC CurrentSince Nov 16, 2020 Accepting new patients
Sacred Heart Rehabilitation Center, Inc. Current Accepting new patients
Answers Within Counseling, PLLC PastSince Aug 11, 2019 Accepting new patients
Macomb Family Services, Inc Clinical Past Accepting new patients
Macomb Family Services, Inc. Clinical PastSince Jan 1, 1995 Accepting new patients

Locations

41800 Hayes Rd
Ste 140
Clinton Township, MI 48038

400 Stoddard Rd
Richmond, MI 48062

19611 E 8 Mile Rd
St Clr Shores, MI 48080
Phone (586) 541-9550

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/macombfamily/r4/

Organizations & group practices 5

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1033260187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37772 CHARTER OAKS BLVD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480364435",
            "telephone_number": "734-674-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37772 CHARTER OAKS BLVD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480364435",
            "telephone_number": "586-277-6192",
            "fax_number": "586-948-8758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 24 Mile Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483163005",
            "country_code": "US",
            "telephone_number": "586-422-7608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERUGI",
        "first_name": "AMY",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.