Luna Health

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

LUNA HEALTH

Practice address

29551 Greenfield Rd Ste 116
Southfield, MI 48076-5871

Phone

(248) 974-6565

Fax

(517) 323-9531

NPI assigned

Nov 13, 2020

Organization subpart

No

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

Authorized official

Name

Cathy Gallegos

Title

Credentialing Billing Manager

Phone

(517) 483-2461

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Caitlyn Marie Witek, LMSW

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1033547690
  Medicare reassignment NPD
• Claire Bokram, LLMSW-CLINICAL

  • Clinical Social Worker
  • Royal Oak, MI
  • NPI 1972120830
  Medicare reassignment

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1487256459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29551 GREENFIELD RD STE 116",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765871",
            "telephone_number": "248-974-6565",
            "fax_number": "517-323-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29551 GREENFIELD RD STE 116",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765871",
            "telephone_number": "248-974-6565",
            "fax_number": "517-323-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CREDENTIALING BILLING MANAGER",
        "authorized_official_telephone_number": "517-483-2461"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Luczak
• Marissa Ludwick, DPT
• Austin Lui, DO
• Tierra C Luke
• Alexis Lumaj
• Lunera Services LLC
• Lunexa Health LLC
• Cassandra Lucille Lungo
• Masiliso Lungu
• Crystall Lutes

• Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.