Individual provider Active NPI

Caelan K Soma

  • Clinical Social Worker
  • Grosse Pointe Woods, MI
National Provider Identifier
1447428602
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086566 Issued in MI
Practice address
900 Cook Rd
Grosse Pointe Woods, MI 48236-2713
Phone
(313) 344-7152
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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 6801086566 MI Primary

Addresses

Primary practice location

900 Cook Rd
Grosse Pointe Woods, MI 48236-2713

Mailing address

900 Cook Rd
Grosse Pointe Woods, MI 48236-2713
Phone (313) 344-7152

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
I20250416001439 MI Practitioner - Clinical Psychologist 9436229309 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801086566MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Caelan Soma PLLC CurrentSince Feb 8, 2025 Accepting new patients
Starr Commonwealth Past Accepting new patients

Locations

1850 W 11 Mile Rd
Berkley, MI 48072
Phone (248) 202-1146

Organizations & group practices 2

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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1447428602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COOK RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362713",
            "telephone_number": "313-344-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOK RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362713",
            "telephone_number": "313-344-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMA",
        "first_name": "CAELAN",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.