Individual provider Active NPI

Michele Deblouw, LMSW

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1528417656
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801099736 Issued in MI
Practice address
5303 S Cedar St Ste 2
Lansing, MI 48911-3800
Phone
(517) 346-8200
NPI assigned
Jun 9, 2016
Last updated
Sep 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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 6801099736 MI Primary

Addresses

Primary practice location

5303 S Cedar St Ste 2
Lansing, MI 48911-3800

Mailing address

2017 Alpha St
Lansing, MI 48910-3504

Other practice location 1

2017 Alpha St
Lansing, MI 48910-3504
Phone (989) 954-4470

Other practice location 2

212 Kent St Ste 4B
Portland, MI 48875-1448
Phone (517) 526-3787

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
I20240610000255 MI Practitioner - Clinical Social Worker 9931641669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beeloved CounselingGroup PAC ID 8022550755, 2 clinicians

Practice addresses (Care Compare)

5126 W Grand River Ave
Suite B
Lansing, MI 48906-9171
Phone (517) 580-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801099736MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beeloved Counseling Clinical CurrentSince Apr 16, 2024 Accepting new patients
Be Well Counseling & Consulting Services, LLC Past Accepting new patients
Community Mental Health Authority Clinton Eaton Ingham Counties PastSince Mar 1, 2011 Accepting new patients

Locations

30903 W 10 Mile Rd
Ste B
Farmington Hills, MI 48336
Phone (248) 893-6192

5126 W Grand River Ave
Ste B
Lansing, MI 48906
Phone (517) 580-2225

Organizations & group practices 3

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1528417656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 ALPHA ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 S CEDAR ST STE 2",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489113800",
            "telephone_number": "517-346-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2017 Alpha St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489103504",
            "country_code": "US",
            "telephone_number": "989-954-4470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Kent St Ste 4B",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "MI",
            "postal_code": "488751448",
            "country_code": "US",
            "telephone_number": "517-526-3787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBLOUW",
        "first_name": "MICHELE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.