Individual provider Active NPI

Kwesi O McGill, LMSW-CLINICAL

  • Clinical Social Worker
  • Dearborn, MI
National Provider Identifier
1578902920
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090737 Issued in MI
Practice address
25 Brookline LN
Dearborn, MI 48120-1037
Phone
(734) 734-8342
NPI assigned
Jun 19, 2013
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 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 6801090737 MI Primary
Clinical Social Worker 1041C0700X 6801120184 MI

Addresses

Primary practice location

25 Brookline LN
Dearborn, MI 48120-1037

Mailing address

25 Brookline LN
Dearborn, MI 48120-1037
Phone (734) 834-2642

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
I20250516003076 MI Practitioner - Clinical Social Worker 3476071051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Safe Wellness Center PLLCGroup PAC ID 0749727485, 6 clinicians

Practice addresses (Care Compare)

4520 Firestone St
Dearborn, MI 48126-4602
Phone (313) 470-1860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801090737MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Wellness Center PLLC CurrentSince Apr 1, 2025 Accepting new patients
Senior Care Alternatives PLLC Clinical CurrentSince Jul 16, 2026 Accepting new patients

Locations

4520 Firestone St
Dearborn, MI 48126
Phone (313) 436-0043

23302 W Warren St
Dearborn Hts, MI 48127
Phone (313) 423-5878

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1578902920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BROOKLINE LN",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201037",
            "telephone_number": "734-834-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BROOKLINE LN",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201037",
            "telephone_number": "734-734-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "KWESI",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "LMSW-CLINICAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090737",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801120184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.