Individual provider Active NPI

Michelle Lynn Dickinson, LMSW, CAADC

  • Clinical Social Worker
  • Oxford, MI
National Provider Identifier
1093041956
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088751 Issued in MI
Practice address
1450 S Lapeer Rd
Oxford, MI 48371-6108
Phone
(248) 969-9932
Fax
(248) 969-0840
NPI assigned
Oct 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C-02320 MI
Clinical Social Worker 1041C0700X 6801088751 MI Primary

Addresses

Primary practice location

1450 S Lapeer Rd
Oxford, MI 48371-6108

Mailing address

1450 S Lapeer Rd
Oxford, MI 48371-6108
Phone (248) 969-9932

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
I20100917000837 MI Practitioner - Clinical Social Worker 2365567039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Antoinette Peterson, LLCGroup PAC ID 3072651835, 9 clinicians

Practice addresses (Care Compare)

147 N Milford Rd
Suite 201
Highland, MI 48357-4500
Phone (248) 563-0587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-02320MIMDAddiction (Substance Use Disorder) Counselor
6801088751MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Antoinette Peterson,LLC Clinical CurrentSince Jul 11, 2023 Accepting new patients
Training & Treatment Innovations Inc CurrentSince Apr 4, 2010 Accepting new patients
Training and Treatment Innovations Inc CurrentSince Apr 4, 2010 Accepting new patients

Locations

147 N Milford Rd
Ste 201
Highland, MI 48357
Phone (248) 563-0587

1450 S Lapeer Rd
Oxford, MI 48371
Phone (248) 969-9932

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1093041956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S LAPEER RD",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716108",
            "telephone_number": "248-969-9932",
            "fax_number": "248-969-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S LAPEER RD",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716108",
            "telephone_number": "248-969-9932",
            "fax_number": "248-969-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-02320",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

Verify at the official NPI Registry.