Individual provider Active NPI

Nalo Morant, LMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1154794311
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098360 Issued in MI
Practice address
2925 Russell St
Detroit, MI 48207
Phone
(313) 369-5300
Fax
(313) 369-5353
NPI assigned
Nov 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 24700000X MI
Clinical Social Worker 1041C0700X 6801098360 MI Primary

Addresses

Primary practice location

2925 Russell St
Detroit, MI 48207

Mailing address

921 Howard St
Dearborn, MI 48124-2210
Phone (313) 274-3700

Other identifiers 1

IdentifierTypeStateIssuer
1063764033MedicaidMI

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
I20180321000438 MI Practitioner - Clinical Social Worker 2769744234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Team Mental Health Services IncGroup PAC ID 2264451830, 33 clinicians

Practice addresses (Care Compare)

2925 Russell St
Detroit, MI 48207-4825
Phone (313) 396-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24700000XMIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Team Wellness Center CurrentSince Feb 17, 2018 Accepting new patients
Henry Ford Health Eastwood Behavioral Health Social Worker CurrentSince May 11, 2018 Accepting new patients
Team Mental Health Services Inc. CurrentSince Feb 17, 2018 Accepting new patients

Locations

290 Town Center Dr
Ste 400
Dearborn, MI 48126
Phone (248) 763-5289

921 Howard St
Dearborn, MI 48124
Phone (313) 274-3700

2925 Russell St
Detroit, MI 48207
Phone (313) 462-4714

4777 E Outer Dr
Detroit, MI 48234
Phone (313) 369-5000

17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

Organizations & group practices 3

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": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1154794311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 HOWARD ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242210",
            "telephone_number": "313-274-3700",
            "fax_number": "313-274-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 RUSSELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48207",
            "telephone_number": "313-369-5300",
            "fax_number": "313-369-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORANT",
        "first_name": "NALO",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "24700000X",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063764033",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.