Individual provider Active NPI

William O'Connor

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1154752038
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801058942 Issued in MI
Practice address
37899 W 12 Mile Rd
Suite 130
Farmington Hills, MI 48331-3048
Phone
(248) 476-2229
NPI assigned
Dec 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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 6801058942 MI Primary

Addresses

Primary practice location

37899 W 12 Mile Rd
Suite 130
Farmington Hills, MI 48331-3048

Mailing address

37899 W 12 Mile Rd
Suite 130
Farmington Hills, MI 48331-3048
Phone (248) 476-2229

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
I20140313000294 MI Practitioner - Clinical Social Worker 6204066244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Michigan Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMJ1Group PAC ID 3870822604, 5 clinicians

Practice addresses (Care Compare)

5331 Plymouth Rd
Ann Arbor, MI 48105-9520
Phone (734) 412-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RMJ1 Social Worker CurrentSince Aug 1, 2020 Accepting new patients
Senior Counseling Services, LLC Clinical CurrentSince Dec 21, 2013 Accepting new patients
Senior Counseling Services LLC Clinical Past Accepting new patients
Aspire Therapy Services, PLLC PastSince Jul 9, 2023 Accepting new patients

Locations

2200 Green Rd
Ste M
Ann Arbor, MI 48105
Phone (734) 412-7300

5331 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 412-7300

37899 W 12 Mile Rd
Ste 130
Farmington Hills, MI 48331
Phone (248) 206-0486

37000 Grand River Ave
Ste 325
Farmington Hills, MI 48335
Phone (248) 476-2229

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": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1154752038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37899 W 12 MILE RD",
            "address_2": "SUITE 130",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313048",
            "telephone_number": "248-476-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37899 W 12 MILE RD",
            "address_2": "SUITE 130",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313048",
            "telephone_number": "248-476-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.