Individual provider Active NPI

Edward J Humenay, MSW

  • Social Worker
  • Chelsea, MI
National Provider Identifier
1649336314
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801004525 Issued in MI
Practice address
114 N Main St Ste 11
Chelsea, MI 48118-1514
Phone
(734) 945-5671
NPI assigned
Dec 28, 2006
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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 6801004525 MI Primary

Addresses

Primary practice location

114 N Main St Ste 11
Chelsea, MI 48118-1514

Mailing address

114 N Main St Ste 11
Chelsea, MI 48118-1514
Phone (734) 945-5671

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
I20070112000460 MI Practitioner - Clinical Social Worker 1557361680 Practice locations: Chelsea, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

114 N Main St
Suite 11
Chelsea, MI 48118-1514
Phone (734) 475-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1649336314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST STE 11",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181514",
            "telephone_number": "734-945-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST STE 11",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181514",
            "telephone_number": "734-945-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMENAY",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801004525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.