Individual provider Active NPI

Heydie Alejandra Orr, LMSW

  • Clinical Social Worker
  • Canton, MI
National Provider Identifier
1083111793
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801097273 Issued in MI
Practice address
5840 N Canton Center Rd Ste 221
Canton, MI 48187
Phone
(773) 454-4898
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 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 6801097273 MI Primary

Addresses

Primary practice location

5840 N Canton Center Rd Ste 221
Canton, MI 48187

Mailing address

767 Sorel Dr
Canton, MI 48188-1217

Other practice location 1

767 Sorel Dr
Canton, MI 48188-1217
Phone (773) 454-4898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801097273MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Counsel LLC Clinical CurrentSince Dec 6, 2020 Accepting new patients

Locations

5840 N Canton Center Rd
Ste 221
Canton, MI 48187
Phone (773) 454-4898

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1083111793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 SOREL DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 N CANTON CENTER RD STE 221",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48187",
            "telephone_number": "773-454-4898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "767 Sorel Dr",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481881217",
            "country_code": "US",
            "telephone_number": "773-454-4898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORR",
        "first_name": "HEYDIE",
        "middle_name": "ALEJANDRA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.