Individual provider Active NPI

Josephine Marie Salem, L.M.S.W.

  • Clinical Social Worker
  • Novi, MI
National Provider Identifier
1184638876
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801064365 Issued in MI
Practice address
40000 Grand River Ave
306
Novi, MI 48375-2121
Phone
(248) 426-9900
Fax
(248) 426-9950
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801064365 MI Primary

Addresses

Primary practice location

40000 Grand River Ave
306
Novi, MI 48375-2121

Mailing address

1249 Glenwood CT
Walled Lake, MI 48390-2925
Phone (248) 624-2082

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
I20080722000721 MI Practitioner - Clinical Social Worker 6002989167 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801064365MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Psychiatric Center, PLLC CurrentSince Oct 25, 2014 Accepting new patients

Locations

2300 Haggerty Rd
Ste 2160
West Bloomfield, MI 48323
Phone (248) 539-0899

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184638876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 GLENWOOD CT",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483902925",
            "telephone_number": "248-624-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40000 GRAND RIVER AVE",
            "address_2": "306",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752121",
            "telephone_number": "248-426-9900",
            "fax_number": "248-426-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "JOSEPHINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801064365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.