Patricia Ann Bleeda-Vineyard, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801063043 Issued in MI

Practice address

1600 Porter St
Detroit, MI 48216-1936

Phone

(313) 963-6601

Fax

(313) 963-6851

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Southwest Counseling Solutions

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1386756153
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1619099264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 CHESTNUT ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925020",
            "telephone_number": "734-285-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PORTER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161936",
            "telephone_number": "313-963-6601",
            "fax_number": "313-963-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEEDA-VINEYARD",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Joseph Blase, M.D.
• Craig Blatchford
• Kathleen Teaman Blazoff, APRN, BC
• Derrick Roosevelt Bledsoe, CAC-1
• Dominique Noria Bledsoe
• Louei Bleible, MD
• Blessed & Highly Favored Ministry Outreach Church
• Blessed Hands and Heart Home Care
• Blessed Hands Foundation
• Blessed Home Care LLC

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.

Verify at the official NPI Registry.