Active NPI
Dominique Hamilton
- Clinical Social Worker
- Southfield, MI
National Provider Identifier
1649647611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 22511 Telegraph Rd
Southfield, MI 48033-4115 - Phone
- (313) 701-7157
- NPI assigned
- Aug 26, 2015
- Last updated
- May 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
22511 Telegraph Rd
Southfield, MI 48033-4115
Mailing address
1938 Burdette St Ste 107
Ferndale, MI 48220-1982
Phone (313) 314-3309
Other practice location 1
1938 Burdette St Ste 107
Ferndale, MI 48220-1982
Phone (313) 314-3309
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Wayne State University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
22511 Telegraph Rd
Suite 222
Southfield, MI 48033-4108
Phone (313) 314-3309
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1649647611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1938 BURDETTE ST STE 107",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201982",
"telephone_number": "313-314-3309",
"fax_number": "248-461-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22511 TELEGRAPH RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480334115",
"telephone_number": "313-701-7157"
}
],
"practiceLocations": [
{
"address_1": "1938 Burdette St Ste 107",
"address_purpose": "LOCATION",
"city": "Ferndale",
"state": "MI",
"postal_code": "482201982",
"country_code": "US",
"telephone_number": "313-314-3309",
"fax_number": "248-461-1209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMILTON",
"first_name": "DOMINIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-26",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.