Individual provider Active NPI

Barbara Nickel, ACSW

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1326065822
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801065071 Issued in MI
Practice address
27620 Farmington Rd
Suite 208
Farmington Hills, MI 48334-3349
Phone
(248) 892-7401
Fax
(248) 855-1925
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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 6801065071 MI Primary

Addresses

Primary practice location

27620 Farmington Rd
Suite 208
Farmington Hills, MI 48334-3349

Mailing address

27620 Farmington Rd
Suite 208
Farmington Hills, MI 48334-3349
Phone (248) 892-7401

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
I20081202000673 MI Practitioner - Clinical Social Worker 2365503869 Practice locations: West Bloomfield, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6002 Simsbury CT
West Bloomfield, MI 48322-3567
Phone (248) 892-7401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801065071MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Manns Consulting Services, LLC Past Accepting new patients
Victor M. Cruz MD, P.C. Past Accepting new patients

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1326065822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27620 FARMINGTON RD",
            "address_2": "SUITE 208",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343349",
            "telephone_number": "248-892-7401",
            "fax_number": "248-855-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27620 FARMINGTON RD",
            "address_2": "SUITE 208",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343349",
            "telephone_number": "248-892-7401",
            "fax_number": "248-855-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKEL",
        "first_name": "BARBARA",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.