Individual provider Active NPI

Norma Keil Shaw, LMSW

  • Clinical Social Worker
  • Dearborn, MI
National Provider Identifier
1528003571
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801014301 Issued in MI
Practice address
2314 Monroe St
Dearborn, MI 48124-3045
Phone
(313) 562-6633
Fax
(313) 562-0880
NPI assigned
Jun 16, 2006
Last updated
Jan 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801014301 MI Primary

Addresses

Primary practice location

2314 Monroe St
Dearborn, MI 48124-3045

Mailing address

2314 Monroe St
Dearborn, MI 48124-3045
Phone (313) 562-6633

Other names 1

  • Mrs. Norma Marie Banan Former name

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
I20040728001192 MI Practitioner - Clinical Social Worker 4385614205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ismail B Sendi MD PCGroup PAC ID 4688674534, 72 clinicians

Practice addresses (Care Compare)

29550 Five Mile Rd
Livonia, MI 48154-3710
Phone (800) 395-3223

31500 Schoolcraft Rd
Livonia, MI 48150-1805
Phone (800) 395-3223

6549 Town Ctr Dr
Clarkston, MI 48346-4824
Phone (800) 395-3223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801014301MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ismail B. Sendi, MD, PC CurrentSince Apr 4, 2022 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Apr 4, 2022 Accepting new patients

Locations

6549 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 620-6400

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, 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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1528003571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243045",
            "telephone_number": "313-562-6633",
            "fax_number": "313-562-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243045",
            "telephone_number": "313-562-6633",
            "fax_number": "313-562-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "NORMA",
        "middle_name": "KEIL",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801014301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORMA",
            "last_name": "BANAN",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "CSW,LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.