Individual provider Active NPI

Alexis Kupovits Cavins, LMSW

  • Clinical Social Worker
  • Temperance, MI
National Provider Identifier
1104428408
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801107385 Issued in MI
Practice address
8765 Lewis Ave
Temperance, MI 48182-9300
Phone
(734) 847-3802
Fax
(734) 847-3418
NPI assigned
Nov 11, 2020
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 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 6801107385 MI Primary

Addresses

Primary practice location

8765 Lewis Ave
Temperance, MI 48182-9300

Mailing address

1545 Kingsway CT
Trenton, MI 48183-1952

Other names 1

  • Alexis K Cavins 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
I20240411001610 MI Practitioner - Clinical Social Worker 1456790351 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801107385MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Mind Psychiatry of Michigan CurrentSince Jan 1, 2026 Accepting new patients
Pure Psychiatry of Michigan PLLC CurrentSince Mar 7, 2024 Accepting new patients

Locations

13938 Middle Gibraltar Rd
Gibraltar, MI 48173
Phone (313) 484-3211

2422 Jolly Rd
Ste 100A
Okemos, MI 48864
Phone (517) 853-1358

34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640

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, 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": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1104428408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 KINGSWAY CT",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 LEWIS AVE",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829300",
            "telephone_number": "734-847-3802",
            "fax_number": "734-847-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVINS",
        "first_name": "ALEXIS",
        "middle_name": "KUPOVITS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "CAVINS",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temperance, MI

Sources for this page

Verify at the official NPI Registry.