Birgit U Pridoehl, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087472 Issued in MI

Practice address

43740 N Groesbeck Hwy
Macomb Co CMH
Clinton TWP, MI 48036-1139

Phone

(586) 469-7629

Fax

(586) 466-4143

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• County of Macomb

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton TWP, MI
  • NPI 1942532197
  Medicare reassignment

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1396895140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43740 N GROESBECK HWY",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361139",
            "telephone_number": "586-469-7629",
            "fax_number": "586-466-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43740 N GROESBECK HWY",
            "address_2": "MACOMB CO CMH",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361139",
            "telephone_number": "586-469-7629",
            "fax_number": "586-466-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDOEHL",
        "first_name": "BIRGIT",
        "middle_name": "U",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivanhalli Prakash, MD
• Preferred Hospitalists of Michigan
• Enejda Prenga
• Robert Presley
• Tammy Shawn Pretzer, M.A. .L.P.C.
• Professional Pharmacy Services-II Inc.
• Mary M Pruneau, PHD
• Albert Anthony Przybylski, D.O.
• Mary Ellen Puls, DO
• Purecare Michigan LLC

• Clinical Social Worker in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.