Individual provider Active NPI

Hala S Pietrangelo, LMSW

  • Clinical Social Worker
  • Clinton TWP, MI
National Provider Identifier
1154378172
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801078182 Issued in NU
Practice address
42500 Hayes Rd Ste 500
Clinton TWP, MI 48038-6768
Phone
(586) 828-1221
Fax
(586) 421-4705
NPI assigned
May 27, 2006
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801078182 MI
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X 6801078182 NU Primary

Addresses

Primary practice location

42500 Hayes Rd Ste 500
Clinton TWP, MI 48038-6768

Mailing address

42500 Hayes Rd Ste 500
Clinton TWP, MI 48038-6768
Phone (586) 828-1221

Other practice location 1

4501 24 Mile Rd Ste B
Shelby Twp, MI 48316-3005
Phone (248) 413-5865

Other identifiers 1

IdentifierTypeStateIssuer
3434247MedicaidMI

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
I20040723001128 MI Practitioner - Clinical Social Worker 0749260222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical CenterGroup PAC ID 3678948577, 22 clinicians

Practice addresses (Care Compare)

35200 Dequindre Rd
Sterling Heights, MI 48310-4837
Phone (814) 408-0014

42627 Garfield Rd
Suite 217
Clinton Township, MI 48038-5032
Phone 58620327151001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Center Mental Health CurrentSince Jan 31, 2025 Accepting new patients
Open Door Counseling Center Mental Health CurrentSince Mar 24, 2023 Accepting new patients
Alternative Community Living, Inc. Past Accepting new patients
Thrive Behavioral Health PastSince Jul 12, 2020 Accepting new patients
Alternative Community Living, Inc. PastSince Sep 24, 2023 Accepting new patients

Locations

324 W Main St
Brighton, MI 48116
Phone (810) 227-6218

42627 Garfield Rd
Ste 217
Clinton Twp, MI 48038
Phone (586) 203-2715

35200 Dequindre Rd
Ste 100
Sterling Heights, MI 48310
Phone (586) 826-8600

35200 Dequindre Rd
Sterling Hts, MI 48310
Phone (248) 689-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4
  • FHIR API: https://app.meldrx.com/api/fhir/pimsy-thrive

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1154378172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42500 HAYES RD STE 500",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386768",
            "telephone_number": "586-828-1221",
            "fax_number": "586-421-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42500 HAYES RD STE 500",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386768",
            "telephone_number": "586-828-1221",
            "fax_number": "586-421-4705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 24 Mile Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483163005",
            "country_code": "US",
            "telephone_number": "248-413-5865",
            "fax_number": "248-413-5869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIETRANGELO",
        "first_name": "HALA",
        "middle_name": "S",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801078182",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "6801078182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3434247",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.