Individual provider Active NPI

Vera Renee Stephens, L.M.S.W

  • Clinical Social Worker
  • Redford, MI
National Provider Identifier
1568526416
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801061541 Issued in MI
Practice address
9315 Telegraph Rd
Redford, MI 48239-1260
Phone
(248) 796-1351
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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 6801061541 MI Primary

Addresses

Primary practice location

9315 Telegraph Rd
Redford, MI 48239-1260

Mailing address

3747 Tyler St
Detroit, MI 48238-3219
Phone (313) 279-2908

Other names 1

  • Vera Renee Pruitt Other name

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
I20050816000134 MI Practitioner - Clinical Social Worker 5496785073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lincoln Behavioral ServicesGroup PAC ID 7113816612, 23 clinicians

Practice addresses (Care Compare)

9315 Telegraph Rd
Redford, MI 48239-1260
Phone (313) 450-4500

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as group
Quality
84.79
Promoting interoperability
89
Improvement activities
40
Cost
87.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801061541MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Behavioral Services CurrentSince Jan 4, 2016 Accepting new patients
Lincoln Behavioral Services CurrentSince Jan 4, 2016 Accepting new patients
Caring Support Services, LLC Clinical PastSince Mar 3, 2005 Accepting new patients

Locations

9315 Telegraph Rd
Redford, MI 48239
Phone (313) 937-9500

Organizations & group practices 3

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1568526416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 TYLER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383219",
            "telephone_number": "313-279-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9315 TELEGRAPH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391260",
            "telephone_number": "248-796-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "VERA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "L.M.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801061541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERA",
            "last_name": "PRUITT",
            "middle_name": "RENEE",
            "credential": "L.M.S.W",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redford, MI

Sources for this page

Verify at the official NPI Registry.