Individual provider Active NPI

Erin Shawgo, LMSW

  • Social Worker
  • Detroit, MI
National Provider Identifier
1356712806
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801106149 Issued in MI
Practice address
2727 2ND Ave Ste 318
Detroit, MI 48201-2658
Phone
(313) 261-5644
NPI assigned
Oct 9, 2015
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801106149 MI Primary

Addresses

Primary practice location

2727 2ND Ave Ste 318
Detroit, MI 48201-2658

Mailing address

839 Saint Louis St
Ferndale, MI 48220-3247

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
I20200102002136 MI Practitioner - Clinical Social Worker 3577997337 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801106149MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Shawgo LMSW LLC Social Worker CurrentSince Aug 19, 2024 Accepting new patients

Locations

2727 2nd Ave
Ste 318
Detroit, MI 48201
Phone (313) 261-5644

Organizations & group practices 1

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": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1356712806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 SAINT LOUIS ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482203247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 2ND AVE STE 318",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012658",
            "telephone_number": "313-261-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWGO",
        "first_name": "ERIN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801106149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.