Summer Morgan Ellerbee, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801101517 Issued in MI

Practice address

4160 Woodward Ave FL 2
Detroit, MI 48201-2027

Phone

(313) 656-4052

Fax

(313) 656-4053

NPI assigned

Dec 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Mel Bornstein Clinic for Psychoanalysis and PsychotherapyGroup PAC ID 1658622519, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Mel Bornstein Clinic for Psychoanalysis and Psychotherapy

  • Multi-Specialty Clinic/Center
  • Farmington Hills, MI
  • NPI 1023546389
  Medicare reassignment Care Compare group NPD
• Imagine Center LLC

  • Clinical Psychologist
  • Northville, MI
  • NPI 1467899666
  NPD

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1093352734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 WOODWARD AVE FL 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012027",
            "telephone_number": "313-656-4052",
            "fax_number": "313-656-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 WOODWARD AVE FL 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012027",
            "telephone_number": "313-656-4052",
            "fax_number": "313-656-4053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 Woodward Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012027",
            "country_code": "US",
            "telephone_number": "313-656-4052",
            "fax_number": "313-656-4053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLERBEE",
        "first_name": "SUMMER",
        "middle_name": "MORGAN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "theimaginectr.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "can fax secured info via secure faxline 313-656-4053",
            "address_1": "4160 Woodward Ave Fl 2",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482012027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ella Butlers Adult Care
• Yasser Ellaicy, DO
• Ellas Helping Hands
• Elisheva Ellenberg, FNP-C
• Rebecca Elizabeth Ellens, PSY.D.
• Daisy Belle Ellington Dupas, PHD
• Sapphire Ellington
• Candius Elliott
• Djilan Elliott
• Kourtnee Elliott, MA, TLLP

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.