Individual provider Active NPI

Zachary Farrell, LMSW STATE OF MI

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1215644257
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801097629 Issued in MI
Practice address
3521 Meadow Grove TRL
Ann Arbor, MI 48108-9313
Phone
(734) 660-6174
NPI assigned
Oct 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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 6801097629 MI Primary

Addresses

Primary practice location

3521 Meadow Grove TRL
Ann Arbor, MI 48108-9313

Mailing address

3521 Meadow Grove TRL
Ann Arbor, MI 48108-9313
Phone (734) 660-6174

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
I20230522002669 MI Practitioner - Clinical Social Worker 8426414152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMSC Mi LLCGroup PAC ID 3779892492, 7 clinicians

Practice addresses (Care Compare)

6117 Charlevoix Woods Court SE
Grand Rapids, MI 49546-8505
Phone (855) 241-7160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801097629MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
BMSC Mi LLC Clinical CurrentSince Apr 4, 2023 Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

6117 Charlevoix Woods Ct SE
Grand Rapids, MI 49546
Phone (616) 954-2366

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1215644257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 MEADOW GROVE TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089313",
            "telephone_number": "734-660-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 MEADOW GROVE TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089313",
            "telephone_number": "734-660-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "ZACHARY",
        "name_prefix": "Mr.",
        "credential": "LMSW STATE OF MI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.