Individual provider Active NPI

Jessica Lynn Hillen, LMSW

  • Social Worker
  • Livonia, MI
National Provider Identifier
1609126697
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801096677 Issued in MI
Practice address
35643 Leon St
Livonia, MI 48150-2584
Phone
(734) 818-9987
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Social Worker 104100000X 6801096677 MI Primary

Addresses

Primary practice location

35643 Leon St
Livonia, MI 48150-2584

Mailing address

35643 Leon St
Livonia, MI 48150-2584
Phone (734) 818-9987

Other names 1

  • Jessica Leleniewski Former 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
I20220705000581 MI Practitioner - Clinical Social Worker 1153701446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rivers Bend PCGroup PAC ID 1052302874, 3 clinicians

Practice addresses (Care Compare)

550 Stephenson Hwy
Troy, MI 48083-1132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801096677MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
River'S Bend, P.C. CurrentSince Nov 7, 2023 Accepting new patients

Locations

550 Stephenson Hwy
Ste 200
Troy, MI 48083
Phone (248) 585-3239

Organizations & group practices 1

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1609126697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35643 LEON ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502584",
            "telephone_number": "734-818-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35643 LEON ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502584",
            "telephone_number": "734-818-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLEN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2022-06-22",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801096677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LELENIEWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.