Individual provider Active NPI

Celia Leikin, LMSW, LMFT

  • Clinical Social Worker
  • West Bloomfield, MI
National Provider Identifier
1669504940
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801006714 Issued in MI
Practice address
5777 W Maple Rd
Suite 175
West Bloomfield, MI 48322-2267
Phone
(248) 891-8914
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101005037 MI
Clinical Social Worker 1041C0700X 6801006714 MI Primary

Addresses

Primary practice location

5777 W Maple Rd
Suite 175
West Bloomfield, MI 48322-2267

Mailing address

5777 W Maple Rd
Suite 175
West Bloomfield, MI 48322-2267
Phone (248) 891-8914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801006714MIMDClinical Social Worker
4101005037MIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669504940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 W MAPLE RD",
            "address_2": "SUITE 175",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222267",
            "telephone_number": "248-891-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 W MAPLE RD",
            "address_2": "SUITE 175",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222267",
            "telephone_number": "248-891-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIKIN",
        "first_name": "CELIA",
        "credential": "LMSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101005037",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801006714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.