Individual provider Active NPI

Pamela H. Minelli, LLMSW

  • Clinical Social Worker
  • Birmingham, MI
National Provider Identifier
1144693524
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L960181 Issued in MI
Practice address
700 N Old Woodward Ave
Suite 300
Birmingham, MI 48009-1322
Phone
(248) 642-8263
NPI assigned
Nov 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 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 L960181 MI Primary

Addresses

Primary practice location

700 N Old Woodward Ave
Suite 300
Birmingham, MI 48009-1322

Mailing address

700 N Old Woodward Ave
Suite 300
Birmingham, MI 48009-1322
Phone (248) 642-8263

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
I20160212001236 MI Practitioner - Clinical Social Worker 0941504880 Reassigns benefits to 1 organization
Practice locations: Birmingham, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Michigan Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1935 Southfield Rd
Birmingham, MI 48009-3056
Phone (248) 979-7030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L960181MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates -Mi PLLC Past Accepting new patients
Smart Cloud, LLC Clinical Past Accepting new patients

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1144693524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N OLD WOODWARD AVE",
            "address_2": "SUITE 300",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091322",
            "telephone_number": "248-642-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N OLD WOODWARD AVE",
            "address_2": "SUITE 300",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091322",
            "telephone_number": "248-642-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINELLI",
        "first_name": "PAMELA",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "L960181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.