Individual provider Active NPI

Pauline Jones Furman, PHD, M.ED,MSW,LPC

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1376769430
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801034824 Issued in MI
Practice address
30555 Southfield Rd
340
Southfield, MI 48076-7752
Phone
(248) 443-8494
Fax
(248) 443-8496
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6401005377 MI
Mental Health Counselor 101YM0800X 6801034824 MI
Professional Counselor 101YP2500X 6801034824 MI
Clinical Social Worker 1041C0700X 6801034824 MI Primary

Addresses

Primary practice location

30555 Southfield Rd
340
Southfield, MI 48076-7752

Mailing address

30555 Southfield Rd
340
Southfield, MI 48076-7752
Phone (248) 443-8494

Other identifiers 2

IdentifierTypeStateIssuer
6401005377OtherMILICENSE NUMBER
20892464OtherMIBCBS

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
I20150401001340 MI Practitioner - Clinical Social Worker 3971820945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30555 Southfield Rd
Suite 340
Southfield, MI 48076-7752
Phone (248) 443-8494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Education, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6401005377MIMDAddiction (Substance Use Disorder) Counselor
6801034824MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Individual and Family Counseling Inc Clinical CurrentSince Jan 6, 2015 Accepting new patients

Locations

30555 Southfield Rd
Ste 340
Southfield, MI 48076
Phone (248) 443-8494

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1376769430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30555 SOUTHFIELD RD",
            "address_2": "340",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767752",
            "telephone_number": "248-443-8494",
            "fax_number": "248-443-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30555 SOUTHFIELD RD",
            "address_2": "340",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767752",
            "telephone_number": "248-443-8494",
            "fax_number": "248-443-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURMAN",
        "first_name": "PAULINE",
        "middle_name": "JONES",
        "name_prefix": "Dr.",
        "credential": "PHD, M.ED,MSW,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401005377",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801034824",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6801034824",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801034824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "6401005377",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20892464",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.