Individual provider Active NPI

Donna M Johnson, MSW

  • Clinical Social Worker
  • Taylor, MI
National Provider Identifier
1164058228
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106202 Issued in MI
Practice address
25350 Eureka Rd
Taylor, MI 48180-5050
Phone
(313) 307-0088
Fax
(313) 307-0088
NPI assigned
Mar 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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 6801106202 MI Primary

Addresses

Primary practice location

25350 Eureka Rd
Taylor, MI 48180-5050

Mailing address

19445 W Warren Ave
Detroit, MI 48228-3361
Phone (313) 307-0088

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
I20200420001032 MI Practitioner - Clinical Social Worker 3072943802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AsnaaGroup PAC ID 9931429255, 7 clinicians

Practice addresses (Care Compare)

19445 W Warren
Iamerica Behavioral and Mental Health
Detroit, MI 48228-3361
Phone (313) 307-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Asnaa CurrentSince Mar 16, 2020 Accepting new patients

Locations

8594 N Canton Center Rd
Canton, MI 48187
Phone (313) 307-0088

19445 W Warren Ave
Detroit, MI 48228
Phone (313) 307-0088

1061 Inkster Rd
Ste 101
Garden City, MI 48135
Phone (313) 307-0088

25350 Eureka Rd
Taylor, MI 48180
Phone (313) 307-0088

Organizations & group practices 1

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": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1164058228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19445 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283361",
            "telephone_number": "313-307-0088",
            "fax_number": "313-281-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25350 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805050",
            "telephone_number": "313-307-0088",
            "fax_number": "313-307-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DONNA",
        "middle_name": "M",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.