Individual provider Active NPI

Carol Victoria Harrington, MSW, ACSW,LMSW

  • Clinical Social Worker
  • Novi, MI
National Provider Identifier
1487791901
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801011654 Issued in MI
Practice address
40000 Grand River Ave
Ste. 306
Novi, MI 48375-2121
Phone
(248) 426-9900
Fax
(248) 426-9950
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801011654 MI Primary

Addresses

Primary practice location

40000 Grand River Ave
Ste. 306
Novi, MI 48375-2121

Mailing address

21907 Arbor LN
Novi, MI 48375-5104
Phone (248) 426-9900

Other identifiers 1

IdentifierTypeStateIssuer
047271OtherMIVALUE OPTIONS PROVIDER ID

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
I20070315000143 MI Practitioner - Clinical Social Worker 4284737040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

37677 Professional Ctr Dr
Suite 125C
Livonia, MI 48154-1191
Phone (248) 349-8934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801011654MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
C. Victoria Harrington, Acsw, PLC Clinical CurrentSince Feb 23, 2007 Accepting new patients
Lakes Psychiatric Center, PLLC CurrentSince Oct 25, 2014 Accepting new patients

Locations

37677 Professional Center Dr
Ste 125C
Livonia, MI 48154
Phone (248) 349-8934

2300 Haggerty Rd
Ste 2160
West Bloomfield, MI 48323
Phone (248) 539-0899

Organizations & group practices 2

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487791901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21907 ARBOR LN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755104",
            "telephone_number": "248-426-9900",
            "fax_number": "248-426-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40000 GRAND RIVER AVE",
            "address_2": "STE. 306",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752121",
            "telephone_number": "248-426-9900",
            "fax_number": "248-426-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "CAROL",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "MSW, ACSW,LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801011654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER ID",
            "identifier": "047271",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.