Individual provider Active NPI

Amanda Lilley, LLMSW

  • Clinical Social Worker
  • Sterling Heights, MI
National Provider Identifier
1629452941
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098104 Issued in MI
Practice address
42140 Van Dyke Ave
Suite 150
Sterling Heights, MI 48314-3677
Phone
(313) 410-5249
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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 6801098104 MI Primary

Addresses

Primary practice location

42140 Van Dyke Ave
Suite 150
Sterling Heights, MI 48314-3677

Mailing address

51785 Adler Park Dr W
Chesterfield, MI 48051-2342
Phone (313) 410-5249

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
I20210312001722 MI Practitioner - Clinical Social Worker 3870909047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

36750 Theodore St
Clinton Township, MI 48035-1955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801098104MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Therapy Group, PLLC Clinical CurrentSince Jan 1, 2021 Accepting new patients
Therapy Alliance of Michigan, Inc. CurrentSince Mar 1, 2021 Accepting new patients

Locations

33596 Harper Ave
Ste 1
Clinton Twp, MI 48035
Phone (586) 295-9278

42815 Garfield Rd
Ste 201
Clinton Twp, MI 48038
Phone (586) 333-5328

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.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1629452941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51785 ADLER PARK DR W",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512342",
            "telephone_number": "313-410-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42140 VAN DYKE AVE",
            "address_2": "SUITE 150",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143677",
            "telephone_number": "313-410-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLEY",
        "first_name": "AMANDA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.