Individual provider Active NPI

Madeline Anne Schork, MSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1215302153
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801099013 Issued in MI
Practice address
1500 East Medical Center Dr
B1 Floor Cancer Center Recp C
Ann Arbor, MI 48109-5912
Phone
(734) 647-8902
NPI assigned
Dec 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149016647 IL
Clinical Social Worker 1041C0700X 6801099013 MI Primary

Addresses

Primary practice location

1500 East Medical Center Dr
B1 Floor Cancer Center Recp C
Ann Arbor, MI 48109-5912

Mailing address

3621 South State Street
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047

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
I20160218000251 MI Practitioner - Clinical Social Worker 7315242054 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
Group practices
Maturity MattersGroup PAC ID 5597120204, 17 clinicians

Practice addresses (Care Compare)

1880 W Stadium Blvd
Ann Arbor, MI 48103-4504
Phone (734) 369-6163

25200 Telegraph Rd
Suite 100
Southfield, MI 48033-7443
Phone (248) 351-0280

Merit-based Incentive Payment System (MIPS)

Final score
84.52 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
76.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149016647ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maturity Matters Clinical CurrentSince Mar 28, 2024 Accepting new patients
Alzheimer'S Disease and Related Disorders Association, Inc CurrentSince Dec 20, 2023 Accepting new patients
Heckendorn Consultation and Therapy, PLLC Clinical CurrentSince Mar 28, 2024 Accepting new patients

Locations

220 Collingwood St
Ste 140
Ann Arbor, MI 48103
Phone (734) 274-0536

1880 W Stadium Blvd
Ann Arbor, MI 48103
Phone (734) 369-6163

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

25200 Telegraph Rd
Ste 100
Southfield, MI 48033
Phone (248) 351-0280

25200 Telegraph Rd
Southfield, MI 48033
Phone (248) 351-0280

24555 Haig St
Taylor, MI 48180
Phone (313) 292-6260

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1215302153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 SOUTH STATE STREET",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR",
            "address_2": "B1 FLOOR CANCER CENTER RECP C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095912",
            "telephone_number": "734-647-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORK",
        "first_name": "MADELINE",
        "middle_name": "ANNE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-03",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016647",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.