Active NPI
Michele Yvette Stewart, LMSW
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1184649253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801062272
- Practice address
- 14670 Roselawn St
Detroit, MI 48238-1892 - Phone
- (248) 559-1763
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6801062272 | MI | |
| Clinical Social Worker | 1041C0700X | 6801062272 | Primary |
Addresses
Primary practice location
14670 Roselawn St
Detroit, MI 48238-1892
Mailing address
14733 Chadron Ave Apt 212
Gardena, CA 90249-3558
Phone (313) 624-7464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801062272 | Other | MI | STATE LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801062272 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Progressive Human Services Inc. | Clinical | Past | Accepting new patients |
| Meridian Human Services | Past | Accepting new patients |
Interoperability endpoints
- michelestewart@tdh.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
-
- Group Psychotherapy Psychologist
- Southfield, MI
- NPI 1184659773
-
- Clinical Social Worker
- Detroit, MI
- NPI 1841242005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1184649253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14733 CHADRON AVE APT 212",
"city": "GARDENA",
"state": "CA",
"postal_code": "902493558",
"telephone_number": "313-624-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14670 ROSELAWN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482381892",
"telephone_number": "248-559-1763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "MICHELE",
"middle_name": "YVETTE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6801062272",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "6801062272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC",
"identifier": "6801062272",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.