Max James Albulov
Individual provider Active NPI Clinical Social Worker · Commerce Township, MI
NPI 1669013405 · NPPES record last updated Oct 2, 2019
Key facts
- NPI
- 1669013405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 8906 Commerce Rd Ste 1
Commerce Township, MI 48382-4484 - Phone
- (248) 716-9025
- NPI assigned
- Oct 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2900 Union Lake Rd
Suite 101
Commerce Township, MI 48382-3500
885 Penniman Ave
Unit 5425
Plymouth, MI 48170-7729
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251103003487 | MI | Practitioner - Clinical Social Worker | 9234629866 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Psychology and Wellness, LLC | Current |
Accepting new patients |
Locations
2900 Union Lake Rd
Ste 101
Commerce Township, MI 48382
Phone (248) 294-7545
8906 Commerce Rd
Ste 1
Commerce Twp, MI 48382
Phone (248) 716-9025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
8906 Commerce Rd Ste 1
Commerce Township, MI 48382-4484
Mailing address
19785 Weyher St
Livonia, MI 48152-2030
Other providers in Commerce Township, MI
- Affinity Private Care Dba Affinity Senior Care
- Age Strong, LLC
- Firas Al-Khalili
- Dalya K Al-Rawi
- Amanda Alabawi
- Susan Terranova Aldea
- Abeer Shaba Alkatib
- Aziz Alkatib
- Fayrouz Alkhouri
- Manuela Almeida Viveiros Sa
All providers in Commerce Township, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.