Active NPI
Lori Kanat Edelson, LMSW, LMFT
- Clinical Social Worker
- Troy, MI
National Provider Identifier
1407994924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801017090
- Practice address
- 2075 W Big Beaver Rd
Troy, MI 48084-3407 - Phone
- (248) 646-6659
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801017090 | MI | Primary |
Addresses
Primary practice location
2075 W Big Beaver Rd
Troy, MI 48084-3407
Mailing address
5136 Corners Dr
West Bloomfield, MI 48322-3933
Phone (248) 855-6595
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2075 W Big Beaver Rd
Suite 520
Troy, MI 48084-3442
Phone (248) 646-6659
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birmingham Maple Clinic | Clinical | Past | Accepting new patients |
| Jeffrey a. London MD PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Counselor
- Troy, MI
- NPI 1558412551
-
- Clinical Psychologist
- Troy, MI
- NPI 1144524133
-
- Medical Specialty Clinic/Center
- Troy, MI
- NPI 1861708257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407994924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5136 CORNERS DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223933",
"telephone_number": "248-855-6595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 W BIG BEAVER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480843407",
"telephone_number": "248-646-6659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDELSON",
"first_name": "LORI",
"middle_name": "KANAT",
"name_prefix": "Ms.",
"credential": "LMSW, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801017090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.