Individual provider Active NPI

Cynthia A Pruett, LMSW

  • Clinical Social Worker
  • Dearborn, MI
National Provider Identifier
1174787261
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801061846 Issued in MI
Practice address
835 Mason St Ste B220
Dearborn, MI 48124-2262
Phone
(313) 561-9064
Fax
(313) 563-4480
NPI assigned
Jul 17, 2008
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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 6801061846 MI Primary

Addresses

Primary practice location

835 Mason St Ste B220
Dearborn, MI 48124-2262

Mailing address

835 Mason St Ste B220
Dearborn, MI 48124-2262
Phone (313) 561-9064

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
I20150827001071 MI Practitioner - Clinical Social Worker 1951617554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Counseling LLCGroup PAC ID 7012335326, 7 clinicians

Practice addresses (Care Compare)

1 Heritage Dr
Suite 261
Southgate, MI 48195-2574
Phone (734) 778-0663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801061846MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center CurrentSince May 29, 2019 Accepting new patients
Wellness Counseling L.L.C. Clinical CurrentSince Jun 1, 2025 Accepting new patients
Michigan Modern Psychology Group,PLLC PastSince Jan 17, 2019 Accepting new patients

Locations

1 Heritage Dr
Ste 261
Southgate, MI 48195
Phone (734) 778-0663

13101 Allen Rd
Southgate, MI 48195
Phone (734) 785-7701

19291 Northline Rd
Southgate, MI 48195
Phone (734) 287-1500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1174787261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 MASON ST STE B220",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242262",
            "telephone_number": "313-561-9064",
            "fax_number": "313-563-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 MASON ST STE B220",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242262",
            "telephone_number": "313-561-9064",
            "fax_number": "313-563-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801061846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.