Active NPI
Levi Yitzchak Hiller, LMSW
- Clinical Social Worker
- Southfield, MI
National Provider Identifier
1396360822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801114449
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801106690 | MI | MD | Clinical Social Worker |
| 6801114449 | MI | MD | Clinical 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.