Individual provider Active NPI

Helene A Kroll, LMSW,CAADC

  • Clinical Social Worker
  • Bloomfield Hills, MI
National Provider Identifier
1386893477
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090220 Issued in MI
Practice address
571 Long Lake Pine CT
Bloomfield Hills, MI 48302-1545
Phone
(248) 342-2331
Fax
(248) 569-9410
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801090220 MI Primary

Addresses

Primary practice location

571 Long Lake Pine CT
Bloomfield Hills, MI 48302-1545

Mailing address

571 Long Lake Pine CT
Bloomfield Hills, MI 48302-1545
Phone (248) 342-2331

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
I20131210002199 MI Practitioner - Clinical Social Worker 2264669696 Reassigns benefits to 1 organization
Practice locations: Bloomfield Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

571 Long Lake Pine CT
Bloomfield Hills, MI 48302-1545
Phone (248) 342-2331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801090220MIMDClinical Social Worker

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": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1386893477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 LONG LAKE PINE CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021545",
            "telephone_number": "248-342-2331",
            "fax_number": "248-569-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 LONG LAKE PINE CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021545",
            "telephone_number": "248-342-2331",
            "fax_number": "248-569-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL",
        "first_name": "HELENE",
        "middle_name": "A",
        "credential": "LMSW,CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.