Individual provider Active NPI

Julie Decoste, LMSW

  • Clinical Social Worker
  • Madison Heights, MI
National Provider Identifier
1205369675
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098406 Issued in MI
Practice address
27334 Brettonwoods St
Madison Heights, MI 48071-3210
Phone
(586) 876-4347
NPI assigned
Apr 4, 2017
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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 6801098406 MI Primary

Addresses

Primary practice location

27334 Brettonwoods St
Madison Heights, MI 48071-3210

Mailing address

27334 Brettonwoods St
Madison Heights, MI 48071-3210
Phone (586) 876-4347

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
I20211015000933 MI Practitioner - Clinical Social Worker 7113325598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

24715 Little Mack Ave
Suite 200
Saint Clair Shores, MI 48080-3207
Phone (586) 777-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Decoste, LMSW, PLLC Clinical CurrentSince Apr 20, 2025 Accepting new patients
Downriver Mental Health Clinic PC Clinical CurrentSince Sep 15, 2021 Accepting new patients
Downriver Mental Health Clinic PC Clinical CurrentSince Sep 15, 2021 Accepting new patients
Richard Kneip, PH.D., P.C. Single Specialty CurrentSince Apr 17, 2023 Accepting new patients

Locations

24715 Little Mack Ave
Ste 200
St Clr Shores, MI 48080
Phone (586) 777-9000

38600 Van Dyke Ave
Ste 101
Sterling Heights, MI 48312
Phone (248) 460-9421

20500 Eureka Rd
Ste 200
Taylor, MI 48180
Phone (734) 285-8282

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1205369675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27334 BRETTONWOODS ST",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713210",
            "telephone_number": "586-876-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27334 BRETTONWOODS ST",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713210",
            "telephone_number": "586-876-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOSTE",
        "first_name": "JULIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.