Individual provider Active NPI

Christina Eva Repay, LMSW

  • Clinical Social Worker
  • Bingham Farms, MI
National Provider Identifier
1295781730
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801073955 Issued in MI
Practice address
31000 Telegraph Rd Ste 120
Bingham Farms, MI 48025-4321
Phone
(248) 594-4991
NPI assigned
May 26, 2006
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 6801073955 MI Primary

Addresses

Primary practice location

31000 Telegraph Rd Ste 120
Bingham Farms, MI 48025-4321

Mailing address

31000 Telegraph Rd Ste 120
Bingham Farms, MI 48025-4321
Phone (248) 594-4991

Other identifiers 1

IdentifierTypeStateIssuer
1295781730MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801073955MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carol a. Roekle, M.D., P.C. Past Accepting new patients
Counseling Associates Inc Past Accepting new patients

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1295781730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31000 TELEGRAPH RD STE 120",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254321",
            "telephone_number": "248-594-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31000 TELEGRAPH RD STE 120",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254321",
            "telephone_number": "248-594-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPAY",
        "first_name": "CHRISTINA",
        "middle_name": "EVA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801073955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295781730",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.