Individual provider Active NPI

Deborah Fishman Bienstock, LMSW

  • Social Worker
  • Farmington Hills, MI
National Provider Identifier
1639637283
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801088655 Issued in MI
Practice address
29042 Utley Rd
Farmington Hills, MI 48334-4142
Phone
(248) 417-2917
NPI assigned
Mar 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801088655 MI Primary

Addresses

Primary practice location

29042 Utley Rd
Farmington Hills, MI 48334-4142

Mailing address

29042 Utley Rd
Farmington Hills, MI 48334-4142
Phone (248) 417-2917

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
I20190411001550 MI Practitioner - Clinical Social Worker 7113268566 Reassigns benefits to 2 organizations
Practice locations: Ann Arbor, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commerce Psychiatric Services PLCGroup PAC ID 6204923519, 9 clinicians

Practice addresses (Care Compare)

55 N Pond Dr
Suite 6
Walled Lake, MI 48390-3080
Phone (249) 669-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801088655MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Commerce Psychiatric Services PLC CurrentSince Mar 12, 2019 Accepting new patients
Henry Ford Health System Clinical CurrentSince May 1, 2021 Accepting new patients
Henry Ford Health System CurrentSince May 1, 2021 Accepting new patients

Locations

1 Ford Pl
Ste 1F
Detroit, MI 48202
Phone (313) 874-4907

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

55 N Pond Dr
Ste 6
Walled Lake, MI 48390
Phone (248) 669-1900

Interoperability endpoints

  • Direct secure messaging: dbienstock741111@direct.hfhs.org

Organizations & group practices 3

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": "1551571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1639637283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29042 UTLEY RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344142",
            "telephone_number": "248-417-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29042 UTLEY RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344142",
            "telephone_number": "248-417-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENSTOCK",
        "first_name": "DEBORAH",
        "middle_name": "FISHMAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-03",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801088655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.