Individual provider Active NPI

Michelle Harris, LMSW

  • Clinical Social Worker
  • Clinton TWP, MI
National Provider Identifier
1619361276
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094184 Issued in MI
Practice address
16645 15 Mile Rd
Clinton TWP, MI 48035-2206
Phone
(586) 213-5505
NPI assigned
Mar 22, 2015
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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 6801094184 MI Primary

Addresses

Primary practice location

16645 15 Mile Rd
Clinton TWP, MI 48035-2206

Mailing address

16645 15 Mile Rd
Clinton TWP, MI 48035-2206
Phone (586) 213-5505

Other names 1

  • Michelle Hendrickson 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
I20150514000382 MI Practitioner - Clinical Social Worker 0840510921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Michigan Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Things Possible Wellness Center, PLLCGroup PAC ID 3173988128, 17 clinicians

Practice addresses (Care Compare)

16645 15 Mile Rd
Clinton Township, MI 48035-2206
Phone (586) 213-5505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All Things Possible Wellness Center, PLLC CurrentSince Apr 23, 2023 Accepting new patients
Oakland Family Services CurrentSince Apr 6, 2015 Accepting new patients

Locations

16645 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 213-5505

16645 15 Mile Rd
#B
Clinton Twp, MI 48035
Phone (586) 213-5055

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": "1426982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1619361276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16645 15 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352206",
            "telephone_number": "586-213-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16645 15 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352206",
            "telephone_number": "586-213-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-22",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HENDRICKSON",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.