Individual provider Active NPI

Caitlyn Marie Witek, LMSW

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1033547690
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096190 Issued in MI
Practice address
22555 Greenfield Rd Ste 550
Southfield, MI 48075-3703
Phone
(844) 576-9226
Fax
(248) 849-8313
NPI assigned
Oct 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 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 6801096190 MI Primary

Addresses

Primary practice location

22555 Greenfield Rd Ste 550
Southfield, MI 48075-3703

Mailing address

13730 Elgin St
Oak Park, MI 48237-1100
Phone (248) 974-6565

Other names 1

  • Caitlyn Marie Case Former name

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
I20180419000523 MI Practitioner - Clinical Social Worker 0446513709 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

29551 Greenfield Rd
Suite 116
Southfield, MI 48076-5871
Phone (248) 974-6565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801096190MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Luna Health Social Worker CurrentSince Nov 15, 2020 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Apr 1, 2018 Accepting new patients
Seton Health Corporation of Southeastern Michigan Clinical CurrentSince Apr 1, 2018 Accepting new patients
RMJ1 Social Worker CurrentSince Aug 1, 2020 Accepting new patients

Locations

5331 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 412-7300

29551 Greenfield Rd
Ste 116
Southfield, MI 48076
Phone (248) 974-6565

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

Organizations & group practices 4

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": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1033547690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13730 ELGIN ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371100",
            "telephone_number": "248-974-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22555 GREENFIELD RD STE 550",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753703",
            "telephone_number": "844-576-9226",
            "fax_number": "248-849-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITEK",
        "first_name": "CAITLYN",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "CASE",
            "middle_name": "MARIE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.