Individual provider Active NPI

Jennifer L Neumann, L.L.M.S.W

  • Clinical Social Worker
  • Auburn Hills, MI
National Provider Identifier
1134438005
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091650 Issued in MI
Practice address
1270 Doris Rd
Auburn Hills, MI 48326-2617
Phone
(248) 276-8138
Fax
(586) 416-6144
NPI assigned
Sep 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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 6801091650 MI Primary

Addresses

Primary practice location

1270 Doris Rd
Auburn Hills, MI 48326-2617

Mailing address

1270 Doris Rd
Auburn Hills, MI 48326-2617
Phone (248) 276-8138

Other names 1

  • Jennifer L Kinsman Former name

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
I20211217000929 MI Practitioner - Clinical Social Worker 1850782319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Easterseals Morc Health Care, IncGroup PAC ID 9830141670, 129 clinicians

Practice addresses (Care Compare)

2399 E Walton Blvd
Auburn Hills, MI 48326-1955
Phone (248) 475-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091650MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Easterseals Morc Health Care, Inc. CurrentSince Apr 26, 2024 Accepting new patients
County of Macomb CurrentSince Oct 1, 2024 Accepting new patients
County of Macomb CurrentSince Oct 1, 2024 Accepting new patients

Locations

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

15600 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-8735

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

Organizations & group practices 3

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": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1134438005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 DORIS RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262617",
            "telephone_number": "248-276-8138",
            "fax_number": "586-416-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 DORIS RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262617",
            "telephone_number": "248-276-8138",
            "fax_number": "586-416-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUMANN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "L.L.M.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KINSMAN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn Hills, MI

Sources for this page

Verify at the official NPI Registry.