Keeana Monique Fleurissaint, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090150 Issued in MI

Practice address

7125 Orchard Lake Rd Ste 222
West Bloomfield, MI 48322-3616

Phone

(248) 865-9418

NPI assigned

Apr 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oakland Therapy LLCGroup PAC ID 1052694718, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Oakland Therapy LLC

  • Multi-Specialty Clinic/Center
  • West Bloomfield, MI
  • NPI 1760926679

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1336834514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD STE 222",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223616",
            "telephone_number": "248-865-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD STE 222",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223616",
            "telephone_number": "248-865-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEURISSAINT",
        "first_name": "KEEANA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801090150",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay E Fisher, MD
• Laurie K Fisher, MD
• Mary M Fisher, DDS
• Catherine Ann Fitzgerald, NP
• Josephine Fletcher, M.S.
• Flossophy Plllc (Flossophy Dental Boutique)
• Foot and Ankle Institute of Michigan PLLC
• Foot Solutions West Bloomfield LLC
• Paul Forman, D.O.
• Brian Foster

• Clinical Social Worker in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.