Individual provider Active NPI

Margo J Siegel, LMSW

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1164787339
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095194 Issued in MI
Practice address
27600 Farmington Rd
Suite #108
Farmington Hills, MI 48334-3348
Phone
(248) 522-9942
Fax
(248) 864-2540
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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 6801095194 MI Primary

Addresses

Primary practice location

27600 Farmington Rd
Suite #108
Farmington Hills, MI 48334-3348

Mailing address

27600 Farmington Rd
Suite #108
Farmington Hills, MI 48334-3348
Phone (248) 522-9942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 14, 2017 through Mar 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801095194MIMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1164787339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27600 FARMINGTON RD",
            "address_2": "SUITE #108",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343348",
            "telephone_number": "248-522-9942",
            "fax_number": "248-864-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27600 FARMINGTON RD",
            "address_2": "SUITE #108",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343348",
            "telephone_number": "248-522-9942",
            "fax_number": "248-864-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "MARGO",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.