NPIMap

Individual provider Active NPI

Eric B. Scott, LICENSE SOCIAL WORKE

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1316328149
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091688 Issued in MI
Practice address
22255 Greenfield Rd
Southfield, MI 48075-3710
Phone
(248) 849-3301
NPI assigned
Jun 17, 2015
Last updated
Jun 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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 6801091688 MI Primary

Addresses

Primary practice location

22255 Greenfield Rd
Southfield, MI 48075-3710

Mailing address

22255 Greenfield Rd
Southfield, MI 48075-3710
Phone (248) 849-3301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717002532 MI Practitioner - Clinical Social Worker 8820301914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29556 Southfield Rd
Suite 200
Southfield, MI 48076-2021
Phone (248) 520-0583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091688MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Annie Bell Chambers Home Help Care LLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

18400 E 9 Mile Rd
Eastpointe, MI 48021
Phone (585) 362-8122

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Detroit Community Health Connection IncDetroit, MI, CCN 231802 Federally qualified health center Corporate Director Dec 1, 2024
Dr Sophie Womack Health CenterDetroit, MI, CCN 231937 Federally qualified health center Corporate Director Dec 1, 2024
Woodward Corridor Family Medical CenterDetroit, MI, CCN 231936 Federally qualified health center Corporate Director Dec 1, 2024
Dr Feleta Wilson Health CenterDetroit, MI, CCN 231935 Federally qualified health center Corporate Director Dec 1, 2024
Nolan Family Health CenterDetroit, MI, CCN 231934 Federally qualified health center Corporate Director Dec 1, 2024
Oscar Paskal Health CenterDetroit, MI, CCN 231015 Federally qualified health center Corporate Director Dec 1, 2024
Dr Peter Slaughter Health CenterDetroit, MI, CCN 231139 Federally qualified health center Corporate Director Dec 1, 2024

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1316328149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753710",
            "telephone_number": "248-849-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753710",
            "telephone_number": "248-849-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ERIC",
        "middle_name": "B.",
        "credential": "LICENSE SOCIAL WORKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.