Individual provider Active NPI

Dana Jeffery, LMSW

  • Clinical Social Worker
  • Warren, MI
National Provider Identifier
1669846614
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096963 Issued in MI
Practice address
31201 Chicago Rd S Ste A201
Warren, MI 48093-5552
Phone
(248) 543-0033
NPI assigned
Nov 13, 2015
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 6801096963 MI Primary

Addresses

Primary practice location

31201 Chicago Rd S Ste A201
Warren, MI 48093-5552

Mailing address

31201 Chicago Rd S Ste A201
Warren, MI 48093-5552
Phone (248) 543-0033

Other identifiers 1

IdentifierTypeStateIssuer
6851096963OtherMILMSW

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
I20210324001806 MI Practitioner - Clinical Social Worker 1254748924 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Mindful Self, LLC CurrentSince Jul 15, 2023 Accepting new patients
Insight Counseling Center of Troy, LLC CurrentSince Mar 1, 2025 Accepting new patients
Kindmind Behavioral Health CurrentSince Dec 1, 2022 Accepting new patients

Locations

5980 S Main St
Clarkston, MI 48346
Phone (248) 470-7359

5980 S Main St
Ste 101
Clarkston, MI 48346
Phone (248) 470-7359

700 E Big Beaver Rd
Ste D
Troy, MI 48083
Phone (248) 417-3783

31201 Chicago Rd S
Ste A201
Warren, MI 48093
Phone (248) 543-0033

Organizations & group practices 3

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": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1669846614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S STE A201",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935552",
            "telephone_number": "248-543-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S STE A201",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935552",
            "telephone_number": "248-543-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "DANA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "6851096963",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.