Individual provider Active NPI

Saundra Elizabeth Bender, LLMSW

  • Social Worker
  • Southfield, MI
National Provider Identifier
1467085506
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801098049 Issued in MI
Practice address
2 Towne SQ Ste 275
Southfield, MI 48076-3719
Phone
(586) 907-1257
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801098049 MI Primary

Addresses

Primary practice location

2 Towne SQ Ste 275
Southfield, MI 48076-3719

Mailing address

17040 Kingsbrooke Dr
Clinton Township, MI 48038-3720
Phone (586) 907-1257

Other names 1

  • Saundra Elizabeth Bryant Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address samantha.mercer@navihealth.com naviHealth Michigan HBPC, PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801098049MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Navihealth Michigan HBPC, PC CurrentSince Feb 23, 2020 Accepting new patients

Locations

2 Towne Sq
Ste 275
Southfield, MI 48076
Phone (586) 907-1257

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": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1467085506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17040 KINGSBROOKE DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383720",
            "telephone_number": "586-907-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TOWNE SQ STE 275",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763719",
            "telephone_number": "586-907-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "SAUNDRA",
        "middle_name": "ELIZABETH",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801098049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.mercer@navihealth.com",
            "affiliation": "Y",
            "affiliationName": "naviHealth Michigan HBPC, PC",
            "address_1": "2 Towne Sq Ste 275",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480763719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAUNDRA",
            "last_name": "BRYANT",
            "middle_name": "ELIZABETH",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.