Individual provider Active NPI

Jeffrey Bellairs, LLMSW

  • Social Worker
  • Livonia, MI
National Provider Identifier
1679039259
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801099843 Issued in MI
Practice address
19805 Farmington Rd
Livonia, MI 48152-1444
Phone
(248) 536-5085
NPI assigned
Feb 19, 2019
Last updated
Feb 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801099843 MI Primary

Addresses

Primary practice location

19805 Farmington Rd
Livonia, MI 48152-1444

Mailing address

19805 Farmington Rd
Livonia, MI 48152-1444
Phone (248) 536-5085

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
I20220420000875 MI Practitioner - Clinical Social Worker 1658768783 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801099843MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Easterseals Morc Health Care, Inc. CurrentSince Jul 19, 2024 Accepting new patients
County of Macomb CurrentSince Oct 1, 2024 Accepting new patients
County of Macomb CurrentSince Oct 1, 2024 Accepting new patients

Locations

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

6770 Dixie Hwy
Ste 200
Clarkston, MI 48346
Phone (248) 625-2273

15600 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-8735

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

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

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": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1679039259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19805 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521444",
            "telephone_number": "248-536-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19805 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521444",
            "telephone_number": "248-536-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAIRS",
        "first_name": "JEFFREY",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801099843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.