Individual provider Active NPI

Destiny E Reikowsky, LMSW

  • Social Worker
  • Clio, MI
National Provider Identifier
1518450840
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801116694 Issued in MI
Practice address
11308 Autumn Breeze TRL Ste 1
Clio, MI 48420-1592
Phone
(989) 996-5544
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801116694 MI Primary

Addresses

Primary practice location

11308 Autumn Breeze TRL Ste 1
Clio, MI 48420-1592

Mailing address

11308 Autumn Breeze TRL Ste 1
Clio, MI 48420-1592

Other identifiers 1

IdentifierTypeStateIssuer
15140840MedicaidMI

Other names 1

  • Destiny E Helpap Former name

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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Westlund Guidance Clinic Clinical PastSince Feb 13, 2022 Accepting new patients
Westlund Guidance Clinic PastSince May 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1518450840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11308 AUTUMN BREEZE TRL STE 1",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11308 AUTUMN BREEZE TRL STE 1",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201592",
            "telephone_number": "989-996-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIKOWSKY",
        "first_name": "DESTINY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801116694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15140840",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESTINY",
            "last_name": "HELPAP",
            "middle_name": "E",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clio, MI

Sources for this page

Verify at the official NPI Registry.