Organization Active NPI

Bernard Ball and Assoc Inc

  • Clinical Social Worker
  • Warren, MI
National Provider Identifier
1457726341
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801061377 Issued in MI
Legal business name
BERNARD BALL AND ASSOC INC
Practice address
12200 E 13 Mile Rd Ste 150
Warren, MI 48093-3096
Phone
(586) 751-0999
Fax
(586) 751-1703
NPI assigned
Dec 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Authorized official

Name
Mr. Bernard Ball, LMSWNPI 1184640187
Title
Director
Phone
(313) 570-0974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801061377 MI Primary

Addresses

Primary practice location

12200 E 13 Mile Rd Ste 150
Warren, MI 48093-3096

Mailing address

PO Box 66104
Roseville, MI 48066-6104
Phone (313) 570-0974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180226002545 MI Part B Supplier - Clinic/Group Practice 6002177540 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton Township, MI

National Provider Directory

National Provider Directory

Locations

41800 Hayes Rd
Ste 138
Clinton Township, MI 48038
Phone (313) 570-0974

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1457726341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66104",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666104",
            "telephone_number": "313-570-0974",
            "fax_number": "586-362-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 E 13 MILE RD STE 150",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933096",
            "telephone_number": "586-751-0999",
            "fax_number": "586-751-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD BALL AND ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-570-0974",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801061377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.