Individual provider Active NPI

Inez Porter, LLMSW, MSW

  • Clinical Social Worker
  • Canton, MI
National Provider Identifier
1598981680
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085514 Issued in MI
Practice address
Hegira Progams Inc.
43825 Michigan Ave.
Canton, MI 48188
Phone
(734) 397-3088
Fax
(734) 397-2892
NPI assigned
Apr 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801085514 MI Primary

Addresses

Primary practice location

Hegira Progams Inc.
43825 Michigan Ave.
Canton, MI 48188

Mailing address

6655 Jackson Rd
Lot 731
Ann Arbor, MI 48103-9588
Phone (734) 747-9065

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
I20230214000601 MI Practitioner - Clinical Social Worker 4587036918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

2350 Green Rd
Suite 150 160
Ann Arbor, MI 48105-1599
Phone (734) 285-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Clinical CurrentSince Feb 8, 2023 Accepting new patients
Downriver Mental Health Clinic PC Clinical CurrentSince Feb 8, 2023 Accepting new patients

Locations

2350 Green Rd
Ste 150160
Ann Arbor, MI 48105
Phone (734) 285-8282

2350 Green Rd
Ste 160
Ann Arbor, MI 48105
Phone (315) 771-4657

1760 S Telegraph Rd
Ste 220
Bloomfield Hills, MI 48302
Phone (248) 587-7618

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598981680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 JACKSON RD",
            "address_2": "LOT 731",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039588",
            "telephone_number": "734-747-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEGIRA PROGAMS INC.",
            "address_2": "43825 MICHIGAN AVE.",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48188",
            "telephone_number": "734-397-3088",
            "fax_number": "734-397-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "INEZ",
        "name_prefix": "Ms.",
        "credential": "LLMSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.