Active NPI
Jeanne Mathieu-Dendrinos, LMSW
- Clinical Social Worker
- Livonia, MI
National Provider Identifier
1477585511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801009808
- Practice address
- 17250 Farmington Rd
Livonia, MI 48152-3151 - Phone
- (734) 425-4070
- Fax
- (734) 425-8350
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801009808 | MI | Primary |
Addresses
Primary practice location
17250 Farmington Rd
Livonia, MI 48152-3151
Mailing address
28000 Dequindre Rd
Warren, MI 48092-2468
Phone (586) 753-0405
Other names 1
- Ms. Jeanne Dendrinos
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101228000523 | MI | Practitioner - Clinical Social Worker | 1052509536 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Health Eastwood Behavioral Health
Practice addresses (Care Compare)
17250 Farmington Rd
Livonia, MI 48152-3151
Phone (734) 425-4070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Eastwood Behavioral Health | Current | Accepting new patients |
Locations
17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070
28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944
Interoperability endpoints
- jmathieudendrinos1140516@direct.hfhs.org
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": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482451200000",
"number": "1477585511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28000 DEQUINDRE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480922468",
"telephone_number": "586-753-0405",
"fax_number": "586-753-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17250 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481523151",
"telephone_number": "734-425-4070",
"fax_number": "734-425-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIEU-DENDRINOS",
"first_name": "JEANNE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2016-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801009808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANNE",
"last_name": "DENDRINOS",
"prefix": "MS.",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.