Individual provider Active NPI

Hayli Lorraine Shopshire

  • Clinical Social Worker
  • Monroe, MI
National Provider Identifier
1386226538
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801108573 Issued in MI
Practice address
1001 S Raisinville Rd
Monroe, MI 48161-9754
Phone
(734) 243-7340
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 6801108573 MI Primary

Addresses

Primary practice location

1001 S Raisinville Rd
Monroe, MI 48161-9754

Mailing address

130 Medical Center Dr
Carleton, MI 48117-9461

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
I20240923000351 MI Practitioner - Clinical Social Worker 1153862875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medical Center of Michigan IncGroup PAC ID 2769575653, shared by 4 NPIs, 31 clinicians
Make Your Turn LLCGroup PAC ID 1850830621, 3 clinicians

Practice addresses (Care Compare)

130 Medical Ctr Dr
Carleton, MI 48117-9461
Phone (734) 654-2169

1645 N Dixie Hwy 2
Myt Monore
Monroe, MI 48162-5231
Phone (734) 265-0120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801108573MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Center of Michigan,Inc CurrentSince Aug 1, 2024 Accepting new patients
Make Your Turn LLC Clinical Current Accepting new patients
Family Medical Center of Michigan,Inc CurrentSince Aug 1, 2024 Accepting new patients
Make Your Turn LLC Clinical CurrentSince May 1, 2026 Accepting new patients

Locations

1200 N Main St
Adrian, MI 49221
Phone (517) 263-1800

130 Medical Center Dr
Carleton, MI 48117

1085 N Macomb St
#O
Monroe, MI 48162
Phone (734) 639-2546

1001 S Raisinville Rd
Monroe, MI 48161
Phone (734) 243-7340

1645 N Dixie Hwy
Ste 2
Monroe, MI 48162
Phone (734) 265-0120

8765 Lewis Ave
Temperance, MI 48182

Organizations & group practices 4

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": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1386226538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MEDICAL CENTER DR",
            "city": "CARLETON",
            "state": "MI",
            "postal_code": "481179461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S RAISINVILLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619754",
            "telephone_number": "734-243-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOPSHIRE",
        "first_name": "HAYLI",
        "middle_name": "LORRAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.