Active NPI
Elaina Brown-Mingo, LMSW-C
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1508322322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801103775
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801103775 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Detroit Counseling and Wellness Solutions | Clinical | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Clinical | Current | 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
- ebrown1064761@direct.hfhs.org
- 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.
-
- Clinical Social Worker
- Southfield, MI
- NPI 1659901783
-
- Clinical Social Worker
- Detroit, MI
- NPI 1689732414
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.