NPIMap

Organization Active NPI

Catholic Charities of Southeast Michigan

  • Clinical Social Worker
  • Madison Heights, MI
National Provider Identifier
1316283757
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CATHOLIC CHARITIES OF SOUTHEAST MICHIGAN
Practice address
515 E 11 Mile Rd
Madison Heights, MI 48071-3701
Phone
(248) 548-4044
Fax
(248) 548-9239
NPI assigned
Dec 12, 2012
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Andrea Michele Foley, LMSWNPI 1568522357
Title
Coo
Phone
(248) 548-4044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

515 E 11 Mile Rd
Madison Heights, MI 48071-3701

Mailing address

24445 Northwestern Hwy Ste 200
Southfield, MI 48075-2437
Phone (586) 416-2300

Other practice location 1

23401 Jefferson Ave
Saint Clair Shores, MI 48080-1974
Phone (586) 412-8494 ext. 4014

Other practice location 2

234 Colonial Dr
Monroe, MI 48162-2965
Phone (734) 240-3850

Other practice location 3

8642 Woodward Ave
Detroit, MI 48202-2142
Phone (313) 335-3261

Other practice location 4

2601 13th St
Port Huron, MI 48060-6546
Phone (810) 987-9100

Other practice location 5

700 S Main St Ste 211
Lapeer, MI 48446-3085
Phone (810) 664-4646 ext. 6000

Other practice location 6

3300 S Adams Rd
Auburn Hills, MI 48326-3304
Phone (248) 537-3300

Other practice location 7

76 Williams St
Pontiac, MI 48341-1756
Phone (248) 338-4250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130705000282 MI Part B Supplier - Clinic/Group Practice 0042450553 Receives reassigned benefits from 10 practitioners
Practice locations: Detroit, MI; Royal Oak, MI; Port Huron, MI; Monroe, MI; Madison Heights, MI; Lapeer, MI

National Provider Directory

National Provider Directory

Locations

3300 S Adams Rd
Auburn Hills, MI 48326
Phone (248) 537-3300

700 S Main St
Ste 211
Lapeer, MI 48446
Phone 8106644646 ext. 6000

234 Colonial Dr
Monroe, MI 48162
Phone (734) 240-3850

25 S Monroe St
Bsmt 103
Monroe, MI 48161
Phone (734) 240-3084

25 S Monroe St
Ste 102
Monroe, MI 48161
Phone (734) 240-3850

25 S Monroe St
Ste 205
Monroe, MI 48161
Phone 7342403850 ext. 2001

721 N Macomb St
Ste 100
Monroe, MI 48162
Phone (313) 221-8560

76 Williams St
Pontiac, MI 48341
Phone (248) 230-9652

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

23401 Jefferson Ave
Saint Clair Shores, MI 48080
Phone 5864128494 ext. 4014

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

1370 N Oakland Blvd
Ste 105
Waterford, MI 48327
Phone (248) 666-8870

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1316283757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24445 NORTHWESTERN HWY STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752437",
            "telephone_number": "586-416-2300",
            "fax_number": "586-416-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E 11 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713701",
            "telephone_number": "248-548-4044",
            "fax_number": "248-548-9239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23401 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480801974",
            "country_code": "US",
            "telephone_number": "586-412-8494 x4014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481622965",
            "country_code": "US",
            "telephone_number": "734-240-3850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8642 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022142",
            "country_code": "US",
            "telephone_number": "313-335-3261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 13th St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480606546",
            "country_code": "US",
            "telephone_number": "810-987-9100",
            "fax_number": "810-987-9105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 S Main St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484463085",
            "country_code": "US",
            "telephone_number": "810-664-4646 x6000",
            "fax_number": "810-664-5181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 S Adams Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn Hills",
            "state": "MI",
            "postal_code": "483263304",
            "country_code": "US",
            "telephone_number": "248-537-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "76 Williams St",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483411756",
            "country_code": "US",
            "telephone_number": "248-338-4250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF SOUTHEAST MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "248-548-4044",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.