Individual provider Active NPI

Michelle Hewitt

  • Clinical Social Worker
  • Royal Oak, MI
National Provider Identifier
1306012760
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090005 Issued in MI
Practice address
30701 Woodward Ave
Suite 200
Royal Oak, MI 48073-0987
Phone
(248) 288-9333
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801090005 MI
Clinical Social Worker 1041C0700X 6801090005 MI Primary

Addresses

Primary practice location

30701 Woodward Ave
Suite 200
Royal Oak, MI 48073-0987

Mailing address

870 E Webster St
Ferndale, MI 48220-3539
Phone (248) 613-2091

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
I20130415000033 MI Practitioner - Clinical Social Worker 6901042134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Eastwood Behavioral HealthGroup PAC ID 2163324492, 51 clinicians

Practice addresses (Care Compare)

17250 Farmington Rd
Livonia, MI 48152-3151
Phone (734) 425-4070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Eastwood Behavioral Health Social Worker CurrentSince Nov 1, 2014 Accepting new patients
Alpha Family Counseling PC Clinical CurrentSince Jan 6, 2013 Accepting new patients

Locations

43996 Woodward Ave
Ste 2
Bloomfield Township, MI 48302
Phone (248) 489-4011

17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070

30701 Woodward Ave
Ste 200
Royal Oak, MI 48073
Phone (248) 288-9333

22255 Greenfield Rd
Ste 300
Southfield, MI 48075
Phone (248) 557-5227

23077 Greenfield Rd
Ste 445
Southfield, MI 48075
Phone (248) 559-1266

Interoperability endpoints

  • Direct secure messaging: mhewitt1132083@direct.hfhs.org

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1306012760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 E WEBSTER ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482203539",
            "telephone_number": "248-613-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30701 WOODWARD AVE",
            "address_2": "SUITE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730987",
            "telephone_number": "248-288-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801090005",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.