Individual provider Active NPI

Jane H Mendelsohn, ACSW

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1497747174
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801035157 Issued in MI
Practice address
28800 Orchard Lake Rd
Suite 250
Farmington Hills, MI 48334-2981
Phone
(248) 932-2500
Fax
(248) 932-2506
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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 6801035157 MI Primary

Addresses

Primary practice location

28800 Orchard Lake Rd
Suite 250
Farmington Hills, MI 48334-2981

Mailing address

28800 Orchard Lake Rd
Suite 250
Farmington Hills, MI 48334-2981
Phone (248) 932-2500

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
I20101204000071 MI Practitioner - Clinical Social Worker 8628265550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32400 Olde Franklin Dr
Farmington Hills, MI 48334-1740
Phone (248) 909-3567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801035157MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jane Mendelsohn MSW LMSW LLC Clinical CurrentSince Sep 9, 2020 Accepting new patients

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1497747174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28800 ORCHARD LAKE RD",
            "address_2": "SUITE 250",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342981",
            "telephone_number": "248-932-2500",
            "fax_number": "248-932-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28800 ORCHARD LAKE RD",
            "address_2": "SUITE 250",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342981",
            "telephone_number": "248-932-2500",
            "fax_number": "248-932-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSOHN",
        "first_name": "JANE",
        "middle_name": "H",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801035157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.