Samuel Kirshenbaum, MSW, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851108933 Issued in MI

Practice address

4160 Wendell Rd
West Bloomfield, MI 48323-3147

Phone

(248) 752-7644

NPI assigned

Mar 17, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Robert J Flewelling PSYD PLLC

  • Clinical Psychologist
  • Royal Oak, MI
  • NPI 1811219678
  Medicare reassignment NPD

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1508441809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 WENDELL RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233147",
            "telephone_number": "248-752-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 WENDELL RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233147",
            "telephone_number": "248-752-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSHENBAUM",
        "first_name": "SAMUEL",
        "credential": "MSW, LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801108933",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851108933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter King, COMPANY OWNER
• Suchetha Kinhal, MD
• Douglas Clayton Kinney, ACNP
• Amy Kirby, ATC
• Andrew Steven Kirschbaum, PT
• Cheryl Kitchen
• Elizabeth Ann Klag, MD
• Patricia J. Klassa, MSN, APRN, CNS-C
• Kaitlin Ann Klaus, RN
• Klein Speech Therapy, LLC

• Social Worker in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.

Verify at the official NPI Registry.