Individual provider Active NPI

Caitlin Demara, MSW

  • Clinical Social Worker
  • Ferndale, MI
National Provider Identifier
1255003695
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801110572 Issued in MI
Practice address
1149 Hilton Rd # 200
Ferndale, MI 48220-2838
Phone
(313) 228-6404
NPI assigned
Oct 4, 2021
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 6801110572 MI Primary

Addresses

Primary practice location

1149 Hilton Rd # 200
Ferndale, MI 48220-2838

Mailing address

26231 Koontz St
Roseville, MI 48066-4956
Phone (313) 228-6404

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
I20211007001168 MI Practitioner - Clinical Social Worker 8628476546 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jul 16, 2024 Accepting new patients
Conscious Garden Counseling LLC Clinical CurrentSince Apr 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1149 Hilton Rd
Ste 200
Ferndale, MI 48220
Phone (313) 228-6404

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

888 W Big Beaver Rd
Ste 780
Troy, MI 48084
Phone (248) 270-5660

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, 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": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1255003695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26231 KOONTZ ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664956",
            "telephone_number": "313-228-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 HILTON RD # 200",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202838",
            "telephone_number": "313-228-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARA",
        "first_name": "CAITLIN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801110572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.