Individual provider Active NPI

Jenifer Hunt, LLMSW

  • Clinical Social Worker
  • Lincoln Park, MI
National Provider Identifier
1518304864
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851103440 Issued in MI
Practice address
26300 Outer Dr
Lincoln Park, MI 48146-2019
Phone
(734) 785-7700
NPI assigned
May 28, 2013
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6851103440 MI
Clinical Social Worker 1041C0700X 6851103440 MI Primary

Addresses

Primary practice location

26300 Outer Dr
Lincoln Park, MI 48146-2019

Mailing address

26300 Outer Dr
Lincoln Park, MI 48146-2019
Phone (734) 785-7700

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
I20260624001875 MI Practitioner - Clinical Social Worker 1658844311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13101 Allen Rd
Southgate, MI 48195-2216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851103440MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center Past Accepting new patients
Catholic Social Services of Washtenaw County PastSince Oct 1, 2019 Accepting new patients
Lenawee Community Mental Health Authority PastSince Jul 1, 2023 Accepting new patients
Lenawee Community Mental Health Authority PastSince Jul 1, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1518304864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26300 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462019",
            "telephone_number": "734-785-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462019",
            "telephone_number": "734-785-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "JENIFER",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851103440",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851103440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

Verify at the official NPI Registry.