Individual provider Active NPI

Mohammad Hanif, LMSW

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1114976503
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801019810 Issued in MI
Practice address
1980 Kristin Dr
Troy, MI 48084-1425
Phone
(248) 649-5544
Fax
(248) 649-5544
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801019810 MI
Clinical Social Worker 1041C0700X 6801019810 MI Primary

Addresses

Primary practice location

1980 Kristin Dr
Troy, MI 48084-1425

Mailing address

1980 Kristin Dr
Troy, MI 48084-1425
Phone (248) 649-5544

Other identifiers 1

IdentifierTypeStateIssuer
6801019810OtherMISOCIAL WORKER

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital CurrentSince Jun 3, 2021 Accepting new patients
Anree Healthcare Inc CurrentSince Jan 1, 1997 Accepting new patients
Henry Ford Health System CurrentSince Oct 9, 2018 Accepting new patients
Henry Ford Health System Clinical CurrentSince Oct 9, 2018 Accepting new patients
Henry Ford Health Providence Hospital Social Worker CurrentSince Jun 3, 2021 Accepting new patients
CNS Healthcare PastSince Jun 1, 2020 Accepting new patients
Troy Health Care Management Inc Past Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

26750 Providence Pkwy
Novi, MI 48374
Phone (248) 465-4782

47601 Grand River Ave
Ste C131
Novi, MI 48374
Phone (248) 380-4335

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Organizations & group practices 7

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1114976503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 KRISTIN DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841425",
            "telephone_number": "248-649-5544",
            "fax_number": "248-649-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 KRISTIN DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841425",
            "telephone_number": "248-649-5544",
            "fax_number": "248-649-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIF",
        "first_name": "MOHAMMAD",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801019810",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801019810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER",
            "identifier": "6801019810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.