Individual provider Active NPI

Joni Shinn, LLMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1104305549
Registry record updated Jul 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801102633 Issued in MI
Practice address
7626 W 7 Mile Rd
Detroit, MI 48221-2164
Phone
(248) 990-7419
NPI assigned
Aug 7, 2018
Last updated
Jul 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2026

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 6801102633 MI Primary

Addresses

Primary practice location

7626 W 7 Mile Rd
Detroit, MI 48221-2164

Mailing address

7626 W 7 Mile Rd
Detroit, MI 48221-2164
Phone (248) 990-7419

Other names 1

  • Joni Lobbestael Former name

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
I20210810003110 MI Practitioner - Clinical Social Worker 6406250687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

24715 Little Mack Ave
Suite 200
Saint Clair Shores, MI 48080-3207
Phone (586) 777-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801102633MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Clinical CurrentSince Jun 14, 2021 Accepting new patients
Downriver Mental Health Clinic PC Clinical Current Accepting new patients
Downriver Mental Health Clinic PC CurrentSince Jun 14, 2021 Accepting new patients

Locations

29201 Telegraph Rd
Ste 550
Southfield, MI 48034
Phone (248) 213-0501

24715 Little Mack Ave
Ste 200
St Clr Shores, MI 48080
Phone (586) 777-9000

20500 Eureka Rd
Ste 200
Taylor, MI 48180
Phone (734) 283-0500

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.jonishinn@150339.advancedmd-direct.com

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": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783123200000",
    "number": "1104305549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212164",
            "telephone_number": "248-990-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212164",
            "telephone_number": "248-990-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINN",
        "first_name": "JONI",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801102633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONI",
            "last_name": "LOBBESTAEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.