Individual provider Active NPI

Noel Ullery, LMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1144837485
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851107061 Issued in MI
Practice address
6011 Joy Rd
Detroit, MI 48204-2909
Phone
(313) 455-0129
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801107061 MI
Clinical Social Worker 1041C0700X 6851107061 MI Primary

Addresses

Primary practice location

6011 Joy Rd
Detroit, MI 48204-2909

Mailing address

6011 Joy Rd
Detroit, MI 48204-2909
Phone (313) 455-0129

Other names 1

  • Noel Spring Professional 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
I20230613000431 MI Practitioner - Clinical Social Worker 0648637256 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801107061MIMDClinical Social Worker
6851107061MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Apricity Abounding LLC Clinical Current Accepting new patients
Fairsky Foundation Clinical CurrentSince Jun 7, 2023 Accepting new patients

Locations

23231 Woodward Ave
Ferndale, MI 48220
Phone (248) 565-6556

Organizations & group practices 2

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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1144837485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 JOY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482042909",
            "telephone_number": "313-455-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 JOY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482042909",
            "telephone_number": "313-455-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLERY",
        "first_name": "NOEL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107061",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851107061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOEL",
            "last_name": "SPRING",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.