Individual provider Active NPI

Victoria Haltom, LMSW

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1114397239
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095120 Issued in MI
Practice address
37899 W 12 Mile Rd
Suite 130
Farmington Hills, MI 48331-3048
Phone
(248) 476-2229
NPI assigned
Oct 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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 6801095120 MI Primary

Addresses

Primary practice location

37899 W 12 Mile Rd
Suite 130
Farmington Hills, MI 48331-3048

Mailing address

37899 W 12 Mile Rd
Suite 130
Farmington Hills, MI 48331-3048
Phone (248) 476-2229

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
I20151030000721 MI Practitioner - Clinical Social Worker 7618287848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Counseling Services LLCGroup PAC ID 5092701904, 4 clinicians

Practice addresses (Care Compare)

37000 Grand River Ave
Suite 325
Farmington Hills, MI 48335-2868
Phone (248) 476-2229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801095120MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Counseling Services, LLC Clinical CurrentSince Oct 6, 2015 Accepting new patients
Mielke & Weeks, P. C. CurrentSince Oct 20, 2016 Accepting new patients
Aspire Therapy Services, PLLC PastSince Jul 9, 2023 Accepting new patients
Senior Counseling Services LLC Clinical Past Accepting new patients

Locations

37899 W 12 Mile Rd
Ste 130
Farmington Hills, MI 48331
Phone (248) 206-0486

37000 Grand River Ave
Ste 325
Farmington Hills, MI 48335
Phone (248) 476-2229

1880 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 289-6817

Organizations & group practices 4

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": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1114397239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37899 W 12 MILE RD",
            "address_2": "SUITE 130",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313048",
            "telephone_number": "248-476-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37899 W 12 MILE RD",
            "address_2": "SUITE 130",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313048",
            "telephone_number": "248-476-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTOM",
        "first_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.