Active NPI
Mark Duane Pruitt, LCSW
- Clinical Social Worker
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801115195
- Practice address
- 904 Hawthorne Ave
Ypsilanti, MI 48198-5812 - Phone
- (734) 431-2166
- NPI assigned
- Aug 18, 2006
- Last updated
- Aug 25, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1187 | KY | |
| Clinical Social Worker | 1041C0700X | 6801115195 | MI | Primary |
| Clinical Social Worker | 1041C0700X | 34003875A | IN |
Addresses
Primary practice location
904 Hawthorne Ave
Ypsilanti, MI 48198-5812
Mailing address
875 Hawthorne Ave Ste 1
Ypsilanti, MI 48198-5825
Phone (734) 431-2166
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
904 Hawthorne Ave
Ypsilanti, MI 48198-5812
Phone (734) 431-2166
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 82.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1187 | KY | MD | Psychologist |
| 34003875A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mel Bornstein Clinic for Psychoanalysis and Psychotherapy | Current | Accepting new patients | |
| Balanced Being Psychotherapy PLLC | Clinical | Current | Accepting new patients |
| Supportive Care I of Michigan PC | Clinical | Current | Accepting new patients |
| Counseling Associates of Southern Indiana, PSC | Clinical | Past | Accepting new patients |
| Seven Counties Services, Inc. | Social Worker | Past | Accepting new patients |
| St Joseph Mercy Hospital | Past | Accepting new patients |
Locations
2006 Hogback Rd
Ann Arbor, MI 48105
Phone (734) 786-2300
32841 Middlebelt Rd
Ste 403
Farmington Hills, MI 48334
Phone (248) 851-7739
330 Lincoln Ave
Iron River, MI 49935
Phone (810) 445-5300
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Organizations & group practices 6
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.
-
- Clinical Social Worker
- Ann Arbor, MI
- NPI 1326804923
-
- Clinical Psychologist
- Iron River, MI
- NPI 1548995608
-
dba Mel Bornstein Clinic for Psychoanalysis and Psychotherapy
- Multi-Specialty Clinic/Center
- Farmington Hills, MI
- NPI 1023546389
-
- Cardiac Rehabilitation Clinic/Center
- Ypsilanti, MI
- NPI 1902359094
-
- Psychiatry Physician
- New Albany, IN
- NPI 1467565143
Clinical
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Louisville, KY
- NPI 1598793671
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1538273743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 HAWTHORNE AVE STE 1",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985825",
"telephone_number": "734-431-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 HAWTHORNE AVE",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985812",
"telephone_number": "734-431-2166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "MARK",
"middle_name": "DUANE",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "1187",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801115195",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34003875A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.