Individual provider Active NPI

Stephen Earl Simon, M.S.W.

  • Clinical Social Worker
  • Birmingham, MI
National Provider Identifier
1235158635
Registry record updated Apr 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801005008 Issued in MI
Practice address
851 Woodlea St
Birmingham, MI 48009-2928
Phone
(248) 825-7218
Fax
(248) 282-0608
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2024

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 6801005008 MI Primary

Addresses

Primary practice location

851 Woodlea St
Birmingham, MI 48009-2928

Mailing address

29260 Franklin Rd
Ste 115
Southfield, MI 48034-1144
Phone (248) 352-7304

Other practice location 1

29260 Franklin Rd
Ste 115
Southfield, MI 48034-1144
Phone (248) 352-7304

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
I20050324000744 MI Practitioner - Clinical Social Worker 1951357763 Practice locations: Southfield, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

29260 Franklin Rd
Suite 115
Southfield, MI 48034-1144
Phone (248) 352-7304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carol a. Roekle, M.D., P.C. Past Accepting new patients

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1235158635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29260 FRANKLIN RD",
            "address_2": "STE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341144",
            "telephone_number": "248-352-7304",
            "fax_number": "248-282-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 WOODLEA ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480092928",
            "telephone_number": "248-825-7218",
            "fax_number": "248-282-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29260 FRANKLIN RD",
            "address_2": "STE 115",
            "address_purpose": "LOCATION",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341144",
            "country_code": "US",
            "telephone_number": "248-352-7304",
            "fax_number": "248-282-0608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "STEPHEN",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801005008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.