Active NPI
Jamie Page, M,S,W
- Social Worker
- Southfield, MI
National Provider Identifier
1154670859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801094313
- Practice address
- 22170 W 9 Mile Rd
Southfield, MI 48033-6007 - Phone
- (248) 372-6800
- NPI assigned
- Sep 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801094313 | MI | Primary |
Addresses
Primary practice location
22170 W 9 Mile Rd
Southfield, MI 48033-6007
Mailing address
2387 E Walton Blvd
Auburn Hills, MI 48326-1955
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pcerecords.essmichigan@direct.mihin.net | Easterseals MORC Health Care, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801094313 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1154670859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2387 E WALTON BLVD",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483261955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22170 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480336007",
"telephone_number": "248-372-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "JAMIE",
"credential": "M,S,W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801094313",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pcerecords.essmichigan@direct.mihin.net",
"affiliation": "Y",
"affiliationName": "Easterseals MORC Health Care, Inc.",
"address_1": "2399 E Walton Blvd",
"city": "Auburn Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483261955",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.