Individual provider Active NPI

Ella Lewis Neal, LMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1043519762
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801057056 Issued in MI
Practice address
12800 E Warren Ave
Detroit, MI 48215-2061
Phone
(313) 824-8000
Fax
(313) 824-5589
NPI assigned
Mar 21, 2011
Last updated
Mar 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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 6801057056 MI Primary

Addresses

Primary practice location

12800 E Warren Ave
Detroit, MI 48215-2061

Mailing address

3632 Wayburn St
Detroit, MI 48224-3368
Phone (313) 550-9163

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
I20200810003536 MI Practitioner - Clinical Social Worker 9931524766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CNS HealthcareGroup PAC ID 8729980198, 24 clinicians

Practice addresses (Care Compare)

12800 E Warren Ave
Detroit, MI 48215-2061
Phone (313) 308-1400

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as group
Quality
73.88
Promoting interoperability
80
Improvement activities
40
Cost
78.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801057056MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CNS Healthcare CurrentSince Oct 1, 2021 Accepting new patients

Locations

12800 E Warren Ave
Detroit, MI 48215
Phone (313) 308-1400

2900 Conner St
Bldg A
Detroit, MI 48215
Phone (313) 308-1400

2900 Conner St
Bldg B
Detroit, MI 48215
Phone (313) 308-1400

24230 Karim Blvd
Ste 100
Novi, MI 48375
Phone (248) 724-7700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1043519762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 WAYBURN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243368",
            "telephone_number": "313-550-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152061",
            "telephone_number": "313-824-8000",
            "fax_number": "313-824-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "ELLA",
        "middle_name": "LEWIS",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801057056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.