Individual provider Active NPI

Rhonda Jovette Miller, LMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1053556662
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801070834 Issued in MI
Practice address
19304 Grand River Ave
Detroit, MI 48223-1202
Phone
(313) 467-3918
Fax
(734) 442-7054
NPI assigned
Dec 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 6801070834 MI Primary

Addresses

Primary practice location

19304 Grand River Ave
Detroit, MI 48223-1202

Mailing address

16249 Eastwind St
Romulus, MI 48174-3180
Phone (313) 467-7215

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
I20090325000171 MI Practitioner - Clinical Social Worker 1759448459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19304 Grand River Ave
Detroit, MI 48223-1202
Phone (313) 693-4706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Innervision Counseling Service, LLC Clinical CurrentSince Feb 5, 2018 Accepting new patients
New Center Community Mental Health Services Past Accepting new patients
Aspire Therapy Services, PLLC PastSince Jul 9, 2023 Accepting new patients
New Center Community Mental Health Services PastSince Sep 2, 2008 Accepting new patients

Locations

19304 Grand River Ave
Detroit, MI 48223
Phone (313) 467-3918

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": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1053556662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16249 EASTWIND ST",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743180",
            "telephone_number": "313-467-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19304 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231202",
            "telephone_number": "313-467-3918",
            "fax_number": "734-442-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RHONDA",
        "middle_name": "JOVETTE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801070834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.