Individual provider Active NPI

Sarah Eisenberg, LMSW

  • Clinical Social Worker
  • Clinton Township, MI
National Provider Identifier
1255754735
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089393 Issued in MI
Practice address
43211 Dalcoma Dr Ste 7
Clinton Township, MI 48038-6309
Phone
(586) 421-4513
Fax
(586) 948-8416
NPI assigned
Feb 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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 6801089393 MI Primary

Addresses

Primary practice location

43211 Dalcoma Dr Ste 7
Clinton Township, MI 48038-6309

Mailing address

1023 Massoit Rd
Clawson, MI 48017-1834
Phone (734) 846-7443

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
I20140512000627 MI Practitioner - Clinical Social Worker 7911130232 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenberg Mental Health and Counseling Services LLC Clinical CurrentSince May 18, 2023 Accepting new patients
Solution-Based Counseling Services, LLC Social Worker CurrentSince Mar 31, 2014 Accepting new patients

Locations

43211 Dalcoma Dr
Ste 7
Clinton Twp, MI 48038
Phone (586) 286-8800

21 N Main St
Mount Clemens, MI 48043
Phone (586) 404-4449

110 S 3rd St
Ste 200
Saint Clair, MI 48079
Phone (586) 421-4513

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": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1255754735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 MASSOIT RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171834",
            "telephone_number": "734-846-7443",
            "fax_number": "586-948-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43211 DALCOMA DR STE 7",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386309",
            "telephone_number": "586-421-4513",
            "fax_number": "586-948-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "SARAH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.