Individual provider Active NPI

Sherita Harvey, LMSW

  • Social Worker
  • Clinton Township, MI
National Provider Identifier
1104248426
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801107163 Issued in MI
Practice address
41800 Hayes Rd Ste 208
Clinton Township, MI 48038-1876
Phone
(586) 203-2170
Fax
(888) 910-9922
NPI assigned
Jan 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801107163 MI Primary

Addresses

Primary practice location

41800 Hayes Rd Ste 208
Clinton Township, MI 48038-1876

Mailing address

41800 Hayes Rd Ste 208
Clinton Township, MI 48038-1876
Phone (586) 203-2170

Other practice location 1

9054 N Stony Dr
154
Washington, MI 48094-2382
Phone (888) 910-9922

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
I20200728001538 MI Practitioner - Clinical Social Worker 1456675198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

41800 Hayes Rd
Suite 208
Clinton Township, MI 48038-1876
Phone (586) 203-2170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801107163MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Center, PLLC Social Worker CurrentSince May 28, 2014 Accepting new patients

Locations

41800 Hayes Rd
Ste 208
Clinton Twp, MI 48038
Phone (586) 203-2170

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": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1104248426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41800 HAYES RD STE 208",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381876",
            "telephone_number": "586-203-2170",
            "fax_number": "888-910-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41800 HAYES RD STE 208",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381876",
            "telephone_number": "586-203-2170",
            "fax_number": "888-910-9922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9054 N Stony Dr",
            "address_2": "154",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MI",
            "postal_code": "480942382",
            "country_code": "US",
            "telephone_number": "888-910-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "SHERITA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801107163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.