Organization Active NPI

Jane Mendelsohn MSW LMSW LLC

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1053926931
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JANE MENDELSOHN MSW LMSW LLC
Practice address
32400 Olde Franklin Dr
Farmington Hills, MI 48334-1740
Phone
(248) 909-3567
Fax
(248) 658-8777
NPI assigned
Sep 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Jane Mendelsohn, MSW LMSWNPI 1497747174
Title
Owner
Phone
(248) 909-3567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

32400 Olde Franklin Dr
Farmington Hills, MI 48334-1740

Mailing address

32400 Olde Franklin Dr
Farmington Hills, MI 48334-1740
Phone (248) 909-3567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201008002093 MI Part B Supplier - Clinic/Group Practice 1658791850 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1053926931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32400 OLDE FRANKLIN DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341740",
            "telephone_number": "248-909-3567",
            "fax_number": "248-658-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32400 OLDE FRANKLIN DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341740",
            "telephone_number": "248-909-3567",
            "fax_number": "248-658-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE MENDELSOHN MSW LMSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "MENDELSOHN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-909-3567",
        "authorized_official_credential": "MSW LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.