Individual provider Active NPI

Morgan Michael, LMSW

  • Clinical Social Worker
  • Dexter, MI
National Provider Identifier
1548031172
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801117170 Issued in MI
Practice address
7200 Dan Hoey Rd Ste G2
Dexter, MI 48130-4201
Phone
(734) 580-2920
NPI assigned
Jan 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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 6801117170 MI Primary

Addresses

Primary practice location

7200 Dan Hoey Rd Ste G2
Dexter, MI 48130-4201

Mailing address

2318 Westminster Blvd
Jackson, MI 49202-2949
Phone (517) 879-8876

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
I20240328003706 MI Practitioner - Clinical Social Worker 2062850860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peaceful Mind Counseling Services LLCGroup PAC ID 9739437138, 15 clinicians

Practice addresses (Care Compare)

2820 Baker Rd
Suite 100
Dexter, MI 48130-1196
Phone (734) 580-2920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801117170MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Mind Counseling Services LLC CurrentSince Feb 20, 2024 Accepting new patients
Sasco Dexter LLC PastSince Feb 20, 2024 Accepting new patients

Locations

2820 Baker Rd
Ste 100
Dexter, MI 48130
Phone (734) 580-2920

7200 Dan Hoey Rd
Ste G2
Dexter, MI 48130
Phone (734) 580-2920

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": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1548031172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 WESTMINSTER BLVD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022949",
            "telephone_number": "517-879-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 DAN HOEY RD STE G2",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481304201",
            "telephone_number": "734-580-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "MORGAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

Verify at the official NPI Registry.