Individual provider Active NPI

Alec Herberholz

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1225644123
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851115154 Issued in MI
Practice address
19300 Greenfield Rd Ste B
Detroit, MI 48235-2003
Phone
(313) 468-2842
NPI assigned
Sep 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 6851115154 MI Primary

Addresses

Primary practice location

19300 Greenfield Rd Ste B
Detroit, MI 48235-2003

Mailing address

26601 Stoney Pass Rd
Sedalia, CO 80135-9003
Phone (916) 622-5753

Other names 1

  • Moss Herberolz 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
I20260310002250 MI Practitioner - Clinical Social Worker 6507349453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18761 San Quentin Dr
Lathrup Village, MI 48076-3327

855 Penniman Ave
Unit 5424
Plymouth, MI 48170-1753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851115154MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lainie Epstein PLLC CurrentSince Jan 18, 2026 Accepting new patients
Healthy Choice Community Centered Counseling PastSince Sep 20, 2020 Accepting new patients

Locations

20411 W 12 Mile Rd
Ste 101
Southfield, MI 48076
Phone (248) 354-1888

Organizations & group practices 2

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1225644123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26601 STONEY PASS RD",
            "city": "SEDALIA",
            "state": "CO",
            "postal_code": "801359003",
            "telephone_number": "916-622-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19300 GREENFIELD RD STE B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352003",
            "telephone_number": "313-468-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERHOLZ",
        "first_name": "ALEC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851115154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOSS",
            "last_name": "HERBEROLZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.