Individual provider Active NPI

Melissa Ann Schultz, LMSW

  • Clinical Social Worker
  • Livonia, MI
National Provider Identifier
1427880392
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088919 Issued in MI
Practice address
38807 Ann Arbor Rd Ste 9
Livonia, MI 48150-3896
Phone
(734) 772-0148
Fax
(734) 943-6051
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801088919 MI Primary

Addresses

Primary practice location

38807 Ann Arbor Rd Ste 9
Livonia, MI 48150-3896

Mailing address

24330 Springbrook Dr
Farmington Hills, MI 48336-1936
Phone (269) 275-5933

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911002463 MI Practitioner - Clinical Social Worker 6901346410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collaborative Health Center PLLCGroup PAC ID 3274828934, 9 clinicians

Practice addresses (Care Compare)

38807 Ann Arbor Rd
Suite 9
Livonia, MI 48150-3896
Phone 73477201481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Health Center, PLLC CurrentSince Aug 12, 2024 Accepting new patients

Locations

38807 Ann Arbor Rd
Ste 9
Livonia, MI 48150
Phone (734) 772-0148

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1427880392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24330 SPRINGBROOK DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361936",
            "telephone_number": "269-275-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38807 ANN ARBOR RD STE 9",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503896",
            "telephone_number": "734-772-0148",
            "fax_number": "734-943-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.