Individual provider Active NPI

Cathy M Battaglia, MSW, LMSW

  • Clinical Social Worker
  • Saint Clair Shores, MI
National Provider Identifier
1396080941
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094631 Issued in MI
Practice address
21610 E 11 Mile Rd Ste 5
Saint Clair Shores, MI 48081-1671
Phone
(248) 277-2679
NPI assigned
Dec 10, 2012
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7881-C NV
Clinical Social Worker 1041C0700X 6801094631 MI Primary

Addresses

Primary practice location

21610 E 11 Mile Rd Ste 5
Saint Clair Shores, MI 48081-1671

Mailing address

13735 Ida Ave
Warren, MI 48089-5422
Phone (248) 298-6125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160307000953 MI Practitioner - Clinical Social Worker 6800192501 Reassigns benefits to 2 organizations
I20181012002570 NV Practitioner - Clinical Social Worker 6800192501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21610 E 11 Mile Rd
Suite 5
Saint Clair Shores, MI 48081-1671
Phone (248) 277-2679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801094631MIMDClinical Social Worker
7881-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
BMSC NV LLC Clinical CurrentSince Aug 19, 2018 Accepting new patients
Mental Health Specialty Group PA CurrentSince Oct 1, 2025 Accepting new patients
Summit Behavioral Health Services LLC Clinical CurrentSince May 24, 2022 Accepting new patients
Comprehensive Therapy Centers, LLC Past Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

400 Renaissance Ctr
Detroit, MI 48243
Phone (318) 252-8839

21610 E 11 Mile Rd
Ste 5
Saint Clair Shores, MI 48081
Phone (248) 277-2679

21610 E 11 Mile Rd
Ste 4
St Clr Shores, MI 48081
Phone (248) 277-2679

Interoperability endpoints

  • Direct secure messaging: cathybattaglia@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1396080941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13735 IDA AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480895422",
            "telephone_number": "248-298-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21610 E 11 MILE RD STE 5",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811671",
            "telephone_number": "248-277-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTAGLIA",
        "first_name": "CATHY",
        "middle_name": "M",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2023-05-19",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7881-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.