Individual provider Active NPI

Robin Marie Ferris, ACSW

  • Clinical Social Worker
  • Livonia, MI
National Provider Identifier
1285798777
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L880099 Issued in MI
Practice address
37677 Professional Center Dr
Ste. 125-C
Livonia, MI 48154-1153
Phone
(248) 207-1213
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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 L880099 MI Primary

Addresses

Primary practice location

37677 Professional Center Dr
Ste. 125-C
Livonia, MI 48154-1153

Mailing address

37677 Professional Center Dr
Ste. 125-C
Livonia, MI 48154-1192
Phone (248) 207-1213

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
I20111220000592 MI Practitioner - Clinical Social Worker 3274709308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37677 Professional Ctr Dr
Suite 125C
Livonia, MI 48154-1191
Phone (248) 207-1213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L880099MIMDClinical 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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1285798777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37677 PROFESSIONAL CENTER DR",
            "address_2": "STE. 125-C",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541192",
            "telephone_number": "248-207-1213",
            "fax_number": "249-130-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37677 PROFESSIONAL CENTER DR",
            "address_2": "STE. 125-C",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541153",
            "telephone_number": "248-207-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "ROBIN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "L880099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.