Individual provider Active NPI

Elizabeth M Strong, LMSW

  • Clinical Social Worker
  • Utica, MI
National Provider Identifier
1235362070
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091353 Issued in MI
Practice address
11111 Hall Rd Ste 303
Utica, MI 48317
Phone
(586) 997-3153
Fax
(586) 997-4956
NPI assigned
Aug 27, 2009
Last updated
Jul 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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 6801091353 MI Primary

Addresses

Primary practice location

11111 Hall Rd Ste 303
Utica, MI 48317

Mailing address

79 W Alexandrine St
Detroit, MI 48201-2015
Phone (313) 831-2608

Other practice location 1

79 W Alexandrine St
Detroit, MI 48201-2015
Phone (313) 831-5535

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
I20140429002269 MI Practitioner - Clinical Social Worker 6608009584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wentworth and Associates PCGroup PAC ID 9537140819, 9 clinicians

Practice addresses (Care Compare)

11111 Hall Rd
Suite 300
Utica, MI 48317-5726
Phone (586) 997-3153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091353MIMDClinical Social Worker

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, 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": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1235362070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 W ALEXANDRINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012015",
            "telephone_number": "313-831-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 HALL RD STE 303",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "48317",
            "telephone_number": "586-997-3153",
            "fax_number": "586-997-4956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 W Alexandrine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012015",
            "country_code": "US",
            "telephone_number": "313-831-5535",
            "fax_number": "313-831-2608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRONG",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

Verify at the official NPI Registry.