Individual provider Active NPI

Heather M Milliken, M.S.W., CAADC, SAP

  • Clinical Social Worker
  • Brighton, MI
National Provider Identifier
1548600786
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088782 Issued in MI
Practice address
710 E Grand River Ave Ste 1
Brighton, MI 48116-1820
Phone
(810) 599-9591
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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 6801088782 MI Primary

Addresses

Primary practice location

710 E Grand River Ave Ste 1
Brighton, MI 48116-1820

Mailing address

PO Box 10
Mason, MI 48854-0010
Phone (517) 676-9788

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
I20131114002003 MI Practitioner - Clinical Social Worker 1951537265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelly Riley PLLCGroup PAC ID 2466882279, 7 clinicians

Practice addresses (Care Compare)

333 E Grand River Ave
Brighton, MI 48116-1513
Phone (810) 599-9591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801088782MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Riley, PLLC Social Worker CurrentSince May 1, 2020 Accepting new patients
Med Sports Vantage PLLC Past Accepting new patients

Locations

333 E Grand River Ave
Brighton, MI 48116
Phone (810) 599-9591

710 E Grand River Ave
Ste 1
Brighton, MI 48116
Phone 8105999591 ext. 4

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1548600786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "517-676-9788",
            "fax_number": "517-676-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E GRAND RIVER AVE STE 1",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161820",
            "telephone_number": "810-599-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIKEN",
        "first_name": "HEATHER",
        "middle_name": "M",
        "credential": "M.S.W., CAADC, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.