Individual provider Active NPI

Yelena Israetel, LMSW

  • Clinical Social Worker
  • Oak Park, MI
National Provider Identifier
1093887010
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801074167 Issued in MI
Practice address
14221 Talbot St
Oak Park, MI 48237-1190
Phone
(248) 547-4416
Fax
(248) 547-4416
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801074167 MI Primary

Addresses

Primary practice location

14221 Talbot St
Oak Park, MI 48237-1190

Mailing address

14221 Talbot St
Oak Park, MI 48237-1190
Phone (248) 547-4416

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
I20110107000173 MI Practitioner - Clinical Social Worker 6305035288 Practice locations: Oak Park, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14221 Talbot St
Oak Park, MI 48237-1190
Phone (248) 345-4416

4270 Gatesford Circle Dr
Troy, MI 48085-3611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Family Services, Inc. Clinical PastSince Jan 1, 1995 Accepting new patients
Macomb Family Services, Inc Clinical Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/macombfamily/r4/

Organizations & group practices 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093887010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 TALBOT ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371190",
            "telephone_number": "248-547-4416",
            "fax_number": "248-547-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 TALBOT ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371190",
            "telephone_number": "248-547-4416",
            "fax_number": "248-547-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAETEL",
        "first_name": "YELENA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801074167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

Verify at the official NPI Registry.