Individual provider Active NPI

Benita Koyton, LMSW

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1669655361
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086565 Issued in MI
Practice address
20558 Oldham Rd Apt 109
Southfield, MI 48076-4024
Phone
(313) 721-5722
NPI assigned
Dec 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801086565 MI Primary

Addresses

Primary practice location

20558 Oldham Rd Apt 109
Southfield, MI 48076-4024

Mailing address

20558 Oldham Rd Apt 109
Southfield, MI 48076-4024
Phone (313) 721-5722

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
I20140421001813 MI Practitioner - Clinical Social Worker 0547492837 Reassigns benefits to 1 organization
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Empowerment Services LLC Clinical CurrentSince Sep 21, 2025 Accepting new patients
Easterseals Morc Health Care, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

Interoperability endpoints

  • Direct secure messaging: benitakoyton@tdh.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1669655361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20558 OLDHAM RD APT 109",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764024",
            "telephone_number": "313-721-5722",
            "fax_number": "313-721-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20558 OLDHAM RD APT 109",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764024",
            "telephone_number": "313-721-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOYTON",
        "first_name": "BENITA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.