Active NPI
Deshara McKinney, LMSW
- Clinical Social Worker
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801116082
- Practice address
- 106 Packard St
Ann Arbor, MI 48104-2367 - Phone
- (734) 649-0930
- NPI assigned
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801116082 | MI | Primary |
| Social Worker | 104100000X | 6801101839 | MI |
Addresses
Primary practice location
106 Packard St
Ann Arbor, MI 48104-2367
Mailing address
1092 Louise St Apt 3
Ypsilanti, MI 48197-1650
Phone (734) 366-0879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801101839 | MI | MD | Social Worker |
| 6801116082 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hegira Health, Inc | Social Worker | Current | Accepting new patients |
| Hegira Health, Inc. | Current | Accepting new patients |
Locations
1403 Inkster Rd
Inkster, MI 48141
Phone (313) 565-2200
37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611
37450 Schoolcraft Rd
Ste 170
Livonia, MI 48150
Phone 7344584601235
8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westland, MI
- NPI 1184684979
Social Worker
-
- Primary Care Clinic/Center
- Westland, MI
- NPI 1477141356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1609352780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1092 LOUISE ST APT 3",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971650",
"telephone_number": "734-366-0879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PACKARD ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481042367",
"telephone_number": "734-649-0930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "DESHARA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-12",
"last_updated": "2023-09-27",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801116082",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801101839",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.