Active NPI
Desiree Sanders
- Social Worker
- Bloomfield Hills, MI
National Provider Identifier
1124459045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801094187
- Practice address
- 1410 S Telegraph Rd
Bloomfield Hills, MI 48302-0046 - Phone
- (248) 456-8150
- NPI assigned
- Dec 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704307329 | MI | |
| Social Worker | 104100000X | 6801094187 | MI | Primary |
Addresses
Primary practice location
1410 S Telegraph Rd
Bloomfield Hills, MI 48302-0046
Mailing address
1410 S Telegraph Rd
Bloomfield Hills, MI 48302-0046
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Michigan Homeopathic Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23300 Greenfield Rd
Suite 122
Oak Park, MI 48237-8408
Phone (248) 968-9508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704307329 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total One Resources Inc | Current | Accepting new patients |
Locations
23300 Greenfield Rd
Ste 122
Oak Park, MI 48237
Phone (248) 968-9508
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.
-
- Community/Behavioral Health Agency
- Oak Park, MI
- NPI 1831455112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596931200000",
"number": "1124459045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 S TELEGRAPH RD",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483020046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 S TELEGRAPH RD",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483020046",
"telephone_number": "248-456-8150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "DESIREE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-02",
"last_updated": "2020-08-09",
"certification_date": "2020-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704307329",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801094187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.