Individual provider Active NPI

Margarete Marie Shimshock

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1568062263
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801062041 Issued in MI
Practice address
2525 Crooks Rd
Troy, MI 48084-4733
Phone
(248) 731-7305
NPI assigned
Oct 30, 2020
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 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 6801062041 MI Primary

Addresses

Primary practice location

2525 Crooks Rd
Troy, MI 48084-4733

Mailing address

24741 Glenda St
Novi, MI 48375-2211
Phone (248) 719-9805

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mshimshock@sbcglobal.net Direct

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
I20201117002533 MI Practitioner - Clinical Social Worker 1557772860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Behavioral Medicine PLLCGroup PAC ID 8325069305, 24 clinicians

Practice addresses (Care Compare)

2525 Crooks Rd
Suite 100
Troy, MI 48084-4733
Phone (248) 731-7305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Behavioral Medicine PLLC CurrentSince Oct 27, 2020 Accepting new patients
Michigan Behavioral Health PastSince Nov 1, 2020 Accepting new patients

Locations

2525 Crooks Rd
Ste 100
Troy, MI 48084
Phone (248) 731-7305

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": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1568062263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24741 GLENDA ST",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752211",
            "telephone_number": "248-719-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CROOKS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844733",
            "telephone_number": "248-731-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMSHOCK",
        "first_name": "MARGARETE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mshimshock@sbcglobal.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2525 Crooks Rd",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480844733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.