Individual provider Active NPI

Erin Michelle Rose, LMSW

  • Social Worker
  • Hartland, MI
National Provider Identifier
1053726307
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801081588 Issued in MI
Practice address
11750 Highland Rd Ste 140
Hartland, MI 48353-2729
Phone
(810) 746-9091
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801081588 MI Primary

Addresses

Primary practice location

11750 Highland Rd Ste 140
Hartland, MI 48353-2729

Mailing address

11750 Highland Rd Ste 140
Hartland, MI 48353-2729
Phone (248) 709-2109

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
I20140930001241 MI Practitioner - Clinical Social Worker 0840410684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartland Individual and Family Services LLCGroup PAC ID 8921416033, 3 clinicians

Practice addresses (Care Compare)

11202 Highland Rd
Hartland, MI 48353-2704
Phone (810) 746-9091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801081588MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hartland Individual and Family Services LLC Social Worker CurrentSince Apr 6, 2021 Accepting new patients
Genesee Health System CurrentSince Aug 12, 2014 Accepting new patients
Genesee Health System Clinical CurrentSince Aug 12, 2014 Accepting new patients

Locations

422 W 4th Ave
Flint, MI 48503
Phone (810) 496-5500

1040 W Bristol Rd
Flint, MI 48507
Phone (810) 257-3724

420 W 5th Ave
Flint, MI 48503
Phone (810) 257-3724

11750 Highland Rd
Ste 140
Hartland, MI 48353
Phone (248) 709-2109

11202 Highland Rd
Hartland, MI 48353
Phone (810) 279-0537

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1053726307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 HIGHLAND RD STE 140",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532729",
            "telephone_number": "248-709-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 HIGHLAND RD STE 140",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532729",
            "telephone_number": "810-746-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801081588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, MI

Sources for this page

Verify at the official NPI Registry.