Individual provider Active NPI

Julie Encelewski

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1457647059
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801068588 Issued in MI
Practice address
4925 Packard St
Ann Arbor, MI 48108-1521
Phone
(734) 971-9781
Fax
(734) 971-2730
NPI assigned
Jun 22, 2011
Last updated
Jun 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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 6801068588 MI Primary

Addresses

Primary practice location

4925 Packard St
Ann Arbor, MI 48108-1521

Mailing address

40442 Coachwood Cir
Northville, MI 48168-3274
Phone (248) 344-0311

Other names 1

  • Julie Synkonis Former name

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
I20121227000230 MI Practitioner - Clinical Social Worker 6103079165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

304 N Main St
Suite 303
Plymouth, MI 48170-1237
Phone (248) 567-9662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801068588MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hegira Health, Inc Clinical CurrentSince Jan 18, 2014 Accepting new patients
Hegira Health, Inc. CurrentSince Jan 18, 2014 Accepting new patients
Life Solutions Counseling, PLLC Clinical CurrentSince Oct 1, 2017 Accepting new patients

Locations

37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611

304 N Main St
Ste 303
Plymouth, MI 48170
Phone (248) 567-9662

304 N Main St
Ste 303
Plymouth, MI 48170
Phone (248) 567-9662

340 N Main St
Ste 303
Plymouth, MI 48170
Phone (734) 730-2426

8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1457647059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40442 COACHWOOD CIR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683274",
            "telephone_number": "248-344-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 PACKARD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081521",
            "telephone_number": "734-971-9781",
            "fax_number": "734-971-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCELEWSKI",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801068588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "SYNKONIS",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.