Individual provider Active NPI

Sherry Ilyse Wexler, L.M.S.W.

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1104562966
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801058964 Issued in MI
Practice address
667 E Big Beaver Rd Suite 107
Troy, MI 48083-1429
Phone
(248) 250-6620
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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 6801058964 MI Primary

Addresses

Primary practice location

667 E Big Beaver Rd Suite 107
Troy, MI 48083-1429

Mailing address

667 E Big Beaver Rd Ste 107
Troy, MI 48083-1430
Phone (248) 250-6620

Other names 1

  • Sherry Sack Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • 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
I20250529000981 MI Practitioner - Clinical Social Worker 9537688924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

667 E Big Beaver Rd
Suite 107
Troy, MI 48083-1430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joe Lilly, LLC Clinical CurrentSince Mar 5, 2025 Accepting new patients

Locations

667 E Big Beaver Rd
Ste 107
Troy, MI 48083
Phone (248) 238-8031

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": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1104562966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 E BIG BEAVER RD STE 107",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831430",
            "telephone_number": "248-250-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 E BIG BEAVER RD SUITE 107",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831429",
            "telephone_number": "248-250-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEXLER",
        "first_name": "SHERRY",
        "middle_name": "ILYSE",
        "name_prefix": "Mrs.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "SACK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.