Individual provider Active NPI

Jessica Macumber, LMSW, CAADC

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1578283768
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801121163 Issued in MI
Practice address
23332 Orchard Lake Rd Ste C
Farmington Hills, MI 48336-3280
Phone
(586) 310-8158
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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 6801121163 MI Primary

Addresses

Primary practice location

23332 Orchard Lake Rd Ste C
Farmington Hills, MI 48336-3280

Mailing address

42627 Garfield Rd Ste 214
Clinton Township, MI 48038-5032
Phone (586) 310-8158

Other practice location 1

42627 Garfield Rd Ste 214
Clinton Township, MI 48038-5032
Phone (586) 310-8158

Other practice location 2

650 Griswold St Ste 1
Northville, MI 48167-1666
Phone (586) 310-8158

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
I20251117002132 MI Practitioner - Clinical Social Worker 0840781902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

42627 Garfield Rd
Suite 214
Clinton Township, MI 48038-5032

PO Box
Suite 2257
Chesterton, IN 46304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801121163MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Achieving Perfect Balance LLC Clinical CurrentSince Nov 18, 2025 Accepting new patients
Serenity Therapeutic Counseling & Addiction Services LLC Clinical CurrentSince Oct 24, 2025 Accepting new patients
Shift Behavioral Health Clinical CurrentSince Oct 24, 2025 Accepting new patients
Home of New Vision PastSince Sep 1, 2022 Accepting new patients
JD Counseling PastSince Jun 3, 2025 Accepting new patients

Locations

42627 Garfield Rd
Ste 214
Clinton Twp, MI 48038
Phone (586) 310-8158

Organizations & group practices 5

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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1578283768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42627 GARFIELD RD STE 214",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385032",
            "telephone_number": "586-310-8158",
            "fax_number": "586-261-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23332 ORCHARD LAKE RD STE C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363280",
            "telephone_number": "586-310-8158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42627 Garfield Rd Ste 214",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480385032",
            "country_code": "US",
            "telephone_number": "586-310-8158",
            "fax_number": "586-261-5098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Griswold St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Northville",
            "state": "MI",
            "postal_code": "481671666",
            "country_code": "US",
            "telephone_number": "586-310-8158",
            "fax_number": "586-261-5098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACUMBER",
        "first_name": "JESSICA",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.