Individual provider Active NPI

Vernice Danna

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1184446346
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119245 Issued in MI
Practice address
28475 Greenfield Rd Ste 204
Southfield, MI 48076-3034
Phone
(248) 720-6536
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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 6801119245 MI Primary

Addresses

Primary practice location

28475 Greenfield Rd Ste 204
Southfield, MI 48076-3034

Mailing address

28475 Greenfield Rd # 204
Southfield, MI 48076-3034
Phone (248) 720-6536

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
I20250129002982 MI Practitioner - Clinical Social Worker 0244769685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801119245MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Widowsweb LLC Clinical CurrentSince Jan 13, 2025 Accepting new patients

Locations

28475 Greenfield Rd
Southfield, MI 48076
Phone (248) 327-7966

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": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1184446346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28475 GREENFIELD RD # 204",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763034",
            "telephone_number": "248-720-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28475 GREENFIELD RD STE 204",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763034",
            "telephone_number": "248-720-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNA",
        "first_name": "VERNICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.