Louise Stephanie Dery, L.M.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801064364 Issued in MI

Practice address

8410 Flamingo St
Westland, MI 48185-1762

Phone

(734) 422-2606

Fax

(734) 422-2608

NPI assigned

Dec 28, 2006

Last updated

Oct 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Medical of Michigan PCGroup PAC ID 9830562776, 90 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EAFDCA

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.

• Brightside Medical of Michigan PC

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1144800350

  MI

  Medicare reassignment Care Compare group NPD
• Primacare, L.L.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westland, MI
  • NPI 1205854726
  Medicare reassignment NPD
• Intervention Network Inc.

  • Clinical Social Worker
  • Westland, MI
  • NPI 1205979234
  NPD (past) Authorized official
• Primacare , L.L.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, MI
  • NPI 1073698486
  NPD
• A Better Tomorrow Counseling and Consultation Services, LLC

  • Mental Health Counselor
  • Redford, MI
  • NPI 1962763052
  NPD (past)
• Thomas Park M.D. PC

  • Preferred Provider Organization
  • Southfield, MI
  • NPI 1881904605
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1669538211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 FLAMINGO ST",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851762",
            "telephone_number": "734-968-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 FLAMINGO ST",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851762",
            "telephone_number": "734-422-2606",
            "fax_number": "734-422-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERY",
        "first_name": "LOUISE",
        "middle_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "L.M.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801064364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Joann Demorest, BA LBSW
• Michael Anthony Demott, MA, LPC
• Amanda Nikolee Dennis-Shareef, MSW
• Monica Grace Denny
• Gail Frances Denuccio, D. O.
• Desira Chiropractic Life Center LLC
• Richard Gerard Desira, DC
• Mikku Deswal
• Danielle Deveson, LMSW
• Siraj Dghaily, RPH

• Clinical Social Worker in Westland, MI
• Providers in Westland, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.

Verify at the official NPI Registry.