Individual provider Active NPI

Claudia Cacciato, LMSW

  • Clinical Social Worker
  • Ferndale, MI
National Provider Identifier
1184055790
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091126 Issued in MI
Practice address
1603 E 9 Mile Rd
Ferndale, MI 48220-2065
Phone
(248) 514-4955
NPI assigned
Dec 6, 2013
Reactivated
Apr 29, 2021
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801091126 MI
Clinical Social Worker 1041C0700X 6801091126 MI Primary

Addresses

Primary practice location

1603 E 9 Mile Rd
Ferndale, MI 48220-2065

Mailing address

16664 15 Mile Rd
Fraser, MI 48026-3713

Other practice location 1

24110 Cherry Hill St
Dearborn, MI 48124-1356
Phone (313) 274-4570

Other practice location 2

315 N Center St
Northville, MI 48167-1277
Phone (313) 656-4052

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
I20150924000965 MI Practitioner - Clinical Social Worker 1951619956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emotional Advantage LLCGroup PAC ID 7719208842, 3 clinicians
Pastoral Counseling and Consultation ServiceGroup PAC ID 4789877978, 2 clinicians

Practice addresses (Care Compare)

1603 E 9 Mile Rd
Start My Wellness
Ferndale, MI 48220-2065
Phone (248) 514-4955

24110 Cherry Hill St
Dearborn, MI 48124-1356
Phone (313) 274-4570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emotional Advantage LLC CurrentSince Dec 22, 2021 Accepting new patients

Locations

1603 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 514-4955

Interoperability endpoints

  • Direct secure messaging: ccacciato793947@direct.hfhs.org

Organizations & group practices 2

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": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1184055790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16664 15 MILE RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480263713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 E 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202065",
            "telephone_number": "248-514-4955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24110 Cherry Hill St",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481241356",
            "country_code": "US",
            "telephone_number": "313-274-4570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 N Center St",
            "address_purpose": "LOCATION",
            "city": "Northville",
            "state": "MI",
            "postal_code": "481671277",
            "country_code": "US",
            "telephone_number": "313-656-4052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CACCIATO",
        "first_name": "CLAUDIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-06",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "deactivation_date": "2021-04-08",
        "reactivation_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801091126",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.