Individual provider Active NPI

Nicole Hentschel, LMSW

  • Clinical Social Worker
  • Center Line, MI
National Provider Identifier
1306373873
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098025 Issued in MI
Practice address
6900 E 10 Mile Rd
Center Line, MI 48015-1168
Phone
(586) 756-7777
Fax
(586) 806-5085
NPI assigned
May 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 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 6801098025 MI Primary

Addresses

Primary practice location

6900 E 10 Mile Rd
Center Line, MI 48015-1168

Mailing address

6800 E 10 Mile Rd
Center Line, MI 48015-1167
Phone (865) 619-9986

Other names 1

  • Nicole McEachin Former name

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
I20180517000744 MI Practitioner - Clinical Social Worker 5799040903 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801098025MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mycare Health Center CurrentSince Jan 24, 2024 Accepting new patients
Pathways 2 PLLC CurrentSince Apr 10, 2018 Accepting new patients
Easterseals Morc Health Care, Inc. CurrentSince Aug 12, 2019 Accepting new patients
Mycare Health Center CurrentSince Jan 24, 2024 Accepting new patients
Mycare Health Center Current Accepting new patients
Mycare Health Center Past Accepting new patients

Locations

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

6780 E 10 Mile Rd
Center Line, MI 48015
Phone (586) 619-9986

6800 E 10 Mile Rd
Center Line, MI 48015

6900 E 10 Mile Rd
Center Line, MI 48015
Phone (586) 501-3070

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

18 Market St
Ste C
Mount Clemens, MI 48043
Phone (586) 783-2222

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

11662 Martin Rd
Warren, MI 48093
Phone (586) 558-6868

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10018231
  • Direct secure messaging: nicolehentschel@mchc.allscriptsdirect.net

Organizations & group practices 6

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": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1306373873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 E 10 MILE RD",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151167",
            "telephone_number": "865-619-9986",
            "fax_number": "586-806-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 E 10 MILE RD",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151168",
            "telephone_number": "586-756-7777",
            "fax_number": "586-806-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENTSCHEL",
        "first_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MCEACHIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Center Line, MI

Sources for this page

Verify at the official NPI Registry.