Active NPI
Jaleesa Pouncil, LMSW
- Clinical Social Worker
- Centreville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801106933
- Practice address
- 677 E Main St
Centreville, MI 49032-8524 - Phone
- (269) 467-1000
- NPI assigned
- Jun 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801106933 | MI | Primary |
Addresses
Primary practice location
677 E Main St
Centreville, MI 49032-8524
Mailing address
677 E Main St
Centreville, MI 49032-8524
Phone (269) 467-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6900 E 10 Mile Rd
Easter Seals Macomb County
Center Line, MI 48015-1168
Phone (586) 501-3070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801106933 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easterseals Morc Health Care, Inc. | Current | Accepting new patients | |
| Woodland Centers | Current | Accepting new patients | |
| Neighborhood Service Organization | Current | Accepting new patients | |
| Osh-Mi Physicians Group PC | Current | Accepting new patients | |
| Osh Mi Physicians Group, PC | Current | Accepting new patients | |
| Osh-Mi Physicians Group PC | Social Worker | Past | Accepting new patients |
Locations
2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400
6900 E 10 Mile Rd
Center Line, MI 48015
Phone (586) 501-3070
8600 Woodward Ave
Detroit, MI 48202
Phone (313) 875-7601
102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033
22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197
1125 6th St SE
Willmar, MN 56201
Phone (320) 231-9148
Organizations & group practices 7
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.
-
dba Easter Seals-Michigan, Inc
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-
- Mental Health Clinic/Center (Including Community Mental Health Center)
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1376167460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 E MAIN ST",
"city": "CENTREVILLE",
"state": "MI",
"postal_code": "490328524",
"telephone_number": "269-467-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 E MAIN ST",
"city": "CENTREVILLE",
"state": "MI",
"postal_code": "490328524",
"telephone_number": "269-467-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POUNCIL",
"first_name": "JALEESA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-03",
"last_updated": "2024-04-03",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801106933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centreville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.