Individual provider Active NPI

Elaina Brown-Mingo, LMSW-C

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1508322322
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801103775 Issued in MI
Practice address
17567 Hubbell St
Detroit, MI 48235-2708
Phone
(313) 985-0243
Fax
(313) 985-1043
NPI assigned
Feb 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

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 6801103775 MI Primary

Addresses

Primary practice location

17567 Hubbell St
Detroit, MI 48235-2708

Mailing address

PO Box 21063
Detroit, MI 48221-0063
Phone (615) 852-9737

Other practice location 1

17364 Pennington Dr
Detroit, MI 48221-2615
Phone (615) 852-9737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Ford PL
Detroit, MI 48202-3067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801103775MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Detroit Counseling and Wellness Solutions Clinical CurrentSince Jan 19, 2020 Accepting new patients
Henry Ford Health System CurrentSince Dec 1, 2024 Accepting new patients
Henry Ford Health System Clinical CurrentSince Dec 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

Interoperability endpoints

  • Direct secure messaging: ebrown1064761@direct.hfhs.org
  • Direct secure messaging: elainabrownmingo@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1550361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1508322322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21063",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482210063",
            "telephone_number": "615-852-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17567 HUBBELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352708",
            "telephone_number": "313-985-0243",
            "fax_number": "313-985-1043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17364 Pennington Dr",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482212615",
            "country_code": "US",
            "telephone_number": "615-852-9737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN-MINGO",
        "first_name": "ELAINA",
        "credential": "LMSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-17",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801103775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.