Individual provider Active NPI

Sherry Lynn McClelland, LMSW

  • Clinical Social Worker
  • Bloomfield Hills, MI
National Provider Identifier
1154675205
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106695 Issued in MI
Practice address
2550 S Telegraph Rd Ste 250
Bloomfield Hills, MI 48302-0909
Phone
(248) 832-0001
NPI assigned
Oct 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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 6801106695 MI Primary
Social Worker 104100000X

Addresses

Primary practice location

2550 S Telegraph Rd Ste 250
Bloomfield Hills, MI 48302-0909

Mailing address

28556 Oakwood St
Inkster, MI 48141-3902
Phone (734) 265-7403

Other practice location 1

2140 E Ellsworth Rd
Ann Arbor, MI 48108-2552
Phone (734) 222-3500

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
I20211011001291 MI Practitioner - Clinical Social Worker 3375941057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, shared by 13 NPIs, 196 clinicians

Practice addresses (Care Compare)

10785 S Saginaw St
Suite a
Grand Blanc, MI 48439-7003
Phone (248) 322-0001

5841 Whitmore Lake Rd
Suite a
Brighton, MI 48116-1991
Phone (734) 454-3560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801106695MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Aug 22, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Apr 1, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 1, 2024 Accepting new patients

Locations

1785 W Stadium Blvd
Ste 205
Ann Arbor, MI 48103
Phone (734) 787-9775

3300 Washtenaw Ave
Ste 265
Ann Arbor, MI 48104
Phone (734) 822-4810

31000 Telegraph Rd
Ste 120
Bingham Farms, MI 48025
Phone (248) 594-4991

2550 S Telegraph Rd
Ste 250
Bloomfld Hls, MI 48302
Phone (248) 322-0001

5841 Whitmore Lake Rd
Ste A
Brighton, MI 48116
Phone (248) 227-6218

14165 N Fenton Rd
Ste 201
Fenton, MI 48430
Phone (248) 322-0001

2222 S Linden Rd
Ste J
Flint, MI 48532
Phone (810) 720-5700

16664 15 Mile Rd
Fraser, MI 48026
Phone (586) 294-3030

10785 S Saginaw St
Ste A
Grand Blanc, MI 48439
Phone (810) 695-0055

1455 S Lapeer Rd
Ste 175
Lake Orion, MI 48360
Phone (248) 322-0001

33300 5 Mile Rd
Ste 208
Livonia, MI 48154
Phone (734) 522-0280

1800 N Milford Rd
Ste 100
Milford, MI 48381
Phone (248) 684-6400

705 S Main St
Plymouth, MI 48170
Phone (734) 277-1810

705 S Main St
Ste 280
Plymouth, MI 48170
Phone (734) 454-1094

17352 W 12 Mile Rd
Ste 100
Southfield, MI 48076
Phone (248) 559-0730

Organizations & group practices 4

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": "1351382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1154675205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28556 OAKWOOD ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481413902",
            "telephone_number": "734-265-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD STE 250",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020909",
            "telephone_number": "248-832-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 E Ellsworth Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481082552",
            "country_code": "US",
            "telephone_number": "734-222-3500",
            "fax_number": "734-971-2487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-28",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106695",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.