Individual provider Active NPI

Benjamin E Blinder, LMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1316451479
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119917 Issued in MI
Practice address
4444 2ND Ave # 3053
Detroit, MI 48201-1216
Phone
(248) 679-2233
NPI assigned
Nov 28, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 6801119917 MI Primary

Addresses

Primary practice location

4444 2ND Ave # 3053
Detroit, MI 48201-1216

Mailing address

4444 2ND Ave # 3053
Detroit, MI 48201-1216
Phone (248) 679-2233

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
I20250409000655 MI Practitioner - Clinical Social Worker 8123542370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Behavioral Medicine PLLCGroup PAC ID 8325069305, 24 clinicians

Practice addresses (Care Compare)

2525 Crooks Rd
Suite 100
Troy, MI 48084-4733
Phone (248) 731-7305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801119917MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Behavioral Medicine PLLC CurrentSince Mar 11, 2025 Accepting new patients
Henry Ford Health Eastwood Behavioral Health Addiction (Substance Use Disorder) Past Accepting new patients

Locations

2525 Crooks Rd
Ste 100
Troy, MI 48084
Phone (248) 731-7305

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": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1316451479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 2ND AVE # 3053",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011216",
            "telephone_number": "248-679-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 2ND AVE # 3053",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011216",
            "telephone_number": "248-679-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINDER",
        "first_name": "BENJAMIN",
        "middle_name": "E",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-28",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.