Active NPI
Michael M Case
- Clinical Social Worker
- Saint Clair Shores, MI
National Provider Identifier
1083175863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801100164
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801100164 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H3 - Hope Healing & Health Inc | Clinical | Current | 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.
-
- Clinical Social Worker
- St. Clair Shores, MI
- NPI 1730509993
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.