Individual provider Active NPI

Levi Yitzchak Hiller, LMSW

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1396360822
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114449 Issued in MI
Practice address
17200 W 10 Mile Rd Ste 213
Southfield, MI 48075-8200
Phone
(414) 759-0251
NPI assigned
Jun 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 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 6801106690 MI
Clinical Social Worker 1041C0700X 6801114449 MI Primary

Addresses

Primary practice location

17200 W 10 Mile Rd Ste 213
Southfield, MI 48075-8200

Mailing address

15540 George Washington Dr
Southfield, MI 48075-3038
Phone (414) 759-0251

Other practice location 1

6555 W Maple Rd
West Bloomfield, MI 48322-4926
Phone (248) 592-2313

Other practice location 2

25900 Greenfield Rd Ste 403
Oak Park, MI 48237-1267
Phone (248) 677-1682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801106690MIMDClinical Social Worker
6801114449MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1396360822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15540 GEORGE WASHINGTON DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753038",
            "telephone_number": "414-759-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 W 10 MILE RD STE 213",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480758200",
            "telephone_number": "414-759-0251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6555 W Maple Rd",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483224926",
            "country_code": "US",
            "telephone_number": "248-592-2313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25900 Greenfield Rd Ste 403",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "MI",
            "postal_code": "482371267",
            "country_code": "US",
            "telephone_number": "248-677-1682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLER",
        "first_name": "LEVI",
        "middle_name": "YITZCHAK",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-10",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106690",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.