Individual provider Active NPI

Bernice Diop, LMSW,LMFT,ACSW, DCSW

  • Social Worker
  • Novi, MI
National Provider Identifier
1114037082
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801002491 Issued in MI
Practice address
39555 Orchard Hill Place
Suite 600
Novi, MI 48375-5374
Phone
(248) 916-5270
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101005714 MI
Social Worker 104100000X 6801002491 MI Primary

Addresses

Primary practice location

39555 Orchard Hill Place
Suite 600
Novi, MI 48375-5374

Mailing address

P.O. Box 531723
Livonia, MI 48153-1723
Phone (248) 916-5270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4101005714MIMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1114037082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 531723",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481531723",
            "telephone_number": "248-916-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39555 ORCHARD HILL PLACE",
            "address_2": "SUITE 600",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755374",
            "telephone_number": "248-916-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIOP",
        "first_name": "BERNICE",
        "name_prefix": "Ms.",
        "credential": "LMSW,LMFT,ACSW, DCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101005714",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801002491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.