Individual provider Active NPI

Michael M Case

  • Clinical Social Worker
  • Saint Clair Shores, MI
National Provider Identifier
1083175863
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801100164 Issued in MI
Practice address
22811 Greater Mack Ave Ste L2
Saint Clair Shores, MI 48080-2057
Phone
(586) 335-2006
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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 6801100164 MI Primary

Addresses

Primary practice location

22811 Greater Mack Ave Ste L2
Saint Clair Shores, MI 48080-2057

Mailing address

1504 Owana Ave
Royal Oak, MI 48067-3440
Phone (313) 410-4337

Other practice location 1

1270 Doris Rd
Auburn Hills, MI 48326-2617
Phone (248) 918-5600

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
I20190731000901 MI Practitioner - Clinical Social Worker 4082940895 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801100164MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
H3 - Hope Healing & Health Inc Clinical CurrentSince Nov 2, 2021 Accepting new patients

Locations

22811 Greater Mack Ave
Ste L2
Saint Clair Shores, MI 48080
Phone (586) 335-2006

23100 Jefferson Ave
Saint Clair Shores, MI 48080
Phone (586) 335-2006

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1083175863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 OWANA AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673440",
            "telephone_number": "313-410-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22811 GREATER MACK AVE STE L2",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802057",
            "telephone_number": "586-335-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Doris Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn Hills",
            "state": "MI",
            "postal_code": "483262617",
            "country_code": "US",
            "telephone_number": "248-918-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASE",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.