Individual provider Active NPI

Nicholas Weiss, LMSW

  • Clinical Social Worker
  • Fenton, MI
National Provider Identifier
1548514904
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091406 Issued in MI
Practice address
1100 Torrey Rd Ste 100
Fenton, MI 48430-3327
Phone
(517) 492-0517
NPI assigned
Nov 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801091406 MI Primary
Social Worker 104100000X 6801091406 MI

Addresses

Primary practice location

1100 Torrey Rd Ste 100
Fenton, MI 48430-3327

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (517) 492-0517

Other practice location 1

45660 Schoenherr Rd
Shelby Township, MI 48315-6033
Phone (586) 566-3020

Other practice location 2

1231 Crystal Pointe Cir
Fenton, MI 48430-2065
Phone (810) 845-7628

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
I20151020000368 MI Practitioner - Clinical Social Worker 0547579203 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

1100 Torrey Rd
Suite 100
Fenton, MI 48430-3327
Phone (810) 494-7180

1231 Crystal Pointe Cir
Fenton, MI 48430-2065
Phone (810) 845-7628

6548 Town Ctr Dr
Suite D
Clarkston, MI 48346-4823
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091406MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Clinical CurrentSince Oct 20, 2025 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Oct 26, 2020 Accepting new patients
Seton Health Corporation of Southeastern Michigan Clinical CurrentSince Apr 1, 2018 Accepting new patients
Downriver Mental Health Clinic PC Clinical CurrentSince Oct 20, 2025 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Apr 1, 2018 Accepting new patients
Henry Ford Health Eastwood Behavioral Health Social Worker CurrentSince May 7, 2017 Accepting new patients
Nicholas Weiss, LMSW, Caadc, PLLC Clinical CurrentSince Mar 23, 2026 Accepting new patients
Rushton Recovery LLC Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 422-1430

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

1100 Torrey Rd
Ste 100
Fenton, MI 48430
Phone 8104947180106

17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

45660 Schoenherr Rd
Utica, MI 48315
Phone (586) 566-3020

Organizations & group practices 8

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": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1548514904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "517-492-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TORREY RD STE 100",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303327",
            "telephone_number": "517-492-0517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45660 Schoenherr Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Township",
            "state": "MI",
            "postal_code": "483156033",
            "country_code": "US",
            "telephone_number": "586-566-3020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1231 Crystal Pointe Cir",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MI",
            "postal_code": "484302065",
            "country_code": "US",
            "telephone_number": "810-845-7628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "NICHOLAS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091406",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801091406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.