Individual provider Active NPI

Eric Vest Jr., LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1043773054
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6361006845 Issued in MI
Practice address
35 Research Dr
Ann Arbor, MI 48103-2981
Phone
(734) 682-5544
NPI assigned
Apr 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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 6361006845 MI Primary

Addresses

Primary practice location

35 Research Dr
Ann Arbor, MI 48103-2981

Mailing address

14866 Horger Ave
Allen Park, MI 48101-2632
Phone (269) 282-2127

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
I20220304000184 MI Practitioner - Clinical Social Worker 1759775935 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6361006845MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairsky Foundation Clinical CurrentSince Jan 1, 2022 Accepting new patients
Affirmations Community Center CurrentSince Dec 1, 2024 Accepting new patients
Path to Empowerment, PLLC Clinical CurrentSince Dec 1, 2024 Accepting new patients

Locations

23231 Woodward Ave
Ferndale, MI 48220
Phone (248) 565-6556

290 W 9 Mile Rd
Ferndale, MI 48220
Phone (248) 397-7105

Organizations & group practices 3

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1043773054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14866 HORGER AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012632",
            "telephone_number": "269-282-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 RESEARCH DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032981",
            "telephone_number": "734-682-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEST",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6361006845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.