Individual provider Active NPI

Heidi Shock

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1205058344
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2000 Hogback Rd Ste 2
Ann Arbor, MI 48105-9735
Phone
(736) 386-0041
NPI assigned
May 2, 2007
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Clinical Social Worker 1041C0700X MI Primary

Addresses

Primary practice location

2000 Hogback Rd Ste 2
Ann Arbor, MI 48105-9735

Mailing address

2000 Hogback Rd Ste 2
Ann Arbor, MI 48105-9735
Phone (734) 386-0041

Other names 1

  • Heidi Shock Other name

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
I20200109001610 MI Practitioner - Clinical Social Worker 2264867845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Complete Neuropsychology Services IncGroup PAC ID 9931473857, 4 clinicians

Practice addresses (Care Compare)

1056 Orndorf Dr
Suite G
Brighton, MI 48116-2479
Phone (734) 386-0041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Neuropsychology Services, Inc Clinical CurrentSince Jul 10, 2023 Accepting new patients
Catholic Charities of Shiawassee and Genesee Counties CurrentSince Dec 18, 2019 Accepting new patients
Catholic Charities of Shiawassee and Genesee Counties Past Accepting new patients
Completion House, Inc. Dba Turning Point Recovery Centers Past Accepting new patients

Locations

2000 Hogback Rd
Ste 2
Ann Arbor, MI 48105
Phone (734) 386-0041

1056 Orndorf Dr
Ste G
Brighton, MI 48116
Phone (734) 386-0041

901 Chippewa St
Flint, MI 48503
Phone (810) 232-9950

500 Perry Rd
Ste 202
Grand Blanc, MI 48439
Phone (734) 386-0041

1480 N M 52
Ste 1
Owosso, MI 48867
Phone (989) 723-8230

Organizations & group practices 4

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1205058344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HOGBACK RD STE 2",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059735",
            "telephone_number": "734-386-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HOGBACK RD STE 2",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059735",
            "telephone_number": "736-386-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCK",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "SHOCK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.