Individual provider Active NPI

Rachel Massimilla, LMSW

  • Clinical Social Worker
  • Sterling Heights, MI
National Provider Identifier
1255685228
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086387 Issued in MI
Practice address
41400 Dequindre Rd Ste 110
Sterling Heights, MI 48314-3751
Phone
(586) 580-2975
Fax
(586) 580-2954
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 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 6801086387 MI Primary

Addresses

Primary practice location

41400 Dequindre Rd Ste 110
Sterling Heights, MI 48314-3751

Mailing address

47179 Gloede Rd
Macomb, MI 48044-4957
Phone (248) 821-7037

Other practice location 1

39150 Dequindre Rd Ste 100
Sterling Heights, MI 48310-6983
Phone (586) 580-2975

Other identifiers 1

IdentifierTypeStateIssuer
1255685228MedicaidMI

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
I20190305002534 MI Practitioner - Clinical Social Worker 6709125958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Linings CounselingGroup PAC ID 4688972169, 14 clinicians

Practice addresses (Care Compare)

41400 Dequindre Rd
Suite 110
Sterling Heights, MI 48314-3751
Phone (586) 580-2975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801086387MIMDClinical 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1255685228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47179 GLOEDE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444957",
            "telephone_number": "248-821-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE RD STE 110",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143751",
            "telephone_number": "586-580-2975",
            "fax_number": "586-580-2954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39150 Dequindre Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483106983",
            "country_code": "US",
            "telephone_number": "586-580-2975",
            "fax_number": "586-580-2954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSIMILLA",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255685228",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.