Jamie Lorraine Bodenhafer, L.M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087081 Issued in MI

Practice address

17657 Avilla Blvd
Lathrup Village, MI 48076-2732

Phone

(248) 259-3527

Fax

(248) 557-2008

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jamie L Bodenhafer LLC

  • Clinical Social Worker
  • Lathrup Village, MI
  • NPI 1104129782
  Medicare reassignment NPD Authorized official
• Intervention Network Inc.

  • Clinical Social Worker
  • Westland, MI
  • NPI 1205979234
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393113600000",
    "number": "1508909532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17657 AVILLA BLVD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762732",
            "telephone_number": "248-259-3527",
            "fax_number": "248-557-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17657 AVILLA BLVD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762732",
            "telephone_number": "248-259-3527",
            "fax_number": "248-557-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENHAFER",
        "first_name": "JAMIE",
        "middle_name": "LORRAINE",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hussein Beydoun, OWNER
• Kertia Libretto Black, MD
• Gary P Blackburn, D.C.
• Nicola Thomas Bleggi, D.C.
• Thomas Walter Bodendorfer, PHARMD
• Ronald Michael Boggs, DC
• Robert Boykin, D.C
• Basel Brikho, MD
• Erika L Bunkley, HIS
• Paula Gene Carson, D.D.S.

• Clinical Social Worker in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2014; 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.