Individual provider Active NPI

Jolene Irene Lepien-Doan, LMSW

  • Clinical Social Worker
  • Port Huron, MI
National Provider Identifier
1285822718
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087048 Issued in MI
Practice address
2601 13TH St
Port Huron, MI 48060-6546
Phone
(810) 987-9100
Fax
(810) 987-9105
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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 6801087048 MI Primary

Addresses

Primary practice location

2601 13TH St
Port Huron, MI 48060-6546

Mailing address

1662 McBrady St
Port Huron, MI 48060-3260
Phone (810) 987-2806

Other identifiers 1

IdentifierTypeStateIssuer
382230613OtherMIFINH

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
I20100114000790 MI Practitioner - Clinical Social Worker 2769524677 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
Catholic Charities of Southeast MichiganGroup PAC ID 0042450553, 7 clinicians

Practice addresses (Care Compare)

2601 13TH St
Port Huron, MI 48060-6546
Phone 81098791005002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801087048MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Southeast Michigan Clinical CurrentSince Jan 1, 2017 Accepting new patients

Locations

2601 13th St
Port Huron, MI 48060
Phone (810) 987-9100

1424 E 11 Mile Rd
Royal Oak, MI 48067
Phone (248) 548-4044

24445 Northwestern Hwy
Ste 200
Southfield, MI 48075
Phone (248) 850-1998

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": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1285822718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 MCBRADY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603260",
            "telephone_number": "810-987-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 13TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606546",
            "telephone_number": "810-987-9100",
            "fax_number": "810-987-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPIEN-DOAN",
        "first_name": "JOLENE",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FINH",
            "identifier": "382230613",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.