Individual provider Active NPI

Rebecca Lynn Hurwitz, MSW

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1609133289
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091021 Issued in MI
Practice address
20300 Civic Center Dr
Suite 100
Southfield, MI 48076-4105
Phone
(248) 996-1055
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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 6801091021 MI Primary

Addresses

Primary practice location

20300 Civic Center Dr
Suite 100
Southfield, MI 48076-4105

Mailing address

25891 Cheyenne Dr
Novi, MI 48374-2363
Phone (248) 877-4270

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
I20160613000625 MI Practitioner - Clinical Social Worker 6901196450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2155 Jackson Ave
Suite 1
Ann Arbor, MI 48103-3976
Phone (248) 877-4270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091021MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
RL Hurwitz PC Clinical CurrentSince Aug 22, 2018 Accepting new patients

Locations

2155 Jackson Ave
Ste 1
Ann Arbor, MI 48103
Phone (248) 877-4270

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": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1609133289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25891 CHEYENNE DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483742363",
            "telephone_number": "248-877-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20300 CIVIC CENTER DR",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764105",
            "telephone_number": "248-996-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURWITZ",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.