Active NPI
Dina Baldwin Berdy LLC
- Clinical Social Worker
- Troy, MI
National Provider Identifier
1689046732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801084378
- Legal business name
- DINA BALDWIN BERDY LLC
- Practice address
- 575 E Big Beaver Rd
Suite 260
Troy, MI 48083-1300 - Phone
- (248) 561-6875
- NPI assigned
- Oct 28, 2015
- Last updated
- Oct 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dina Baldwin Berdy, LMSW
- Title
- Social Worker
- Phone
- (248) 561-6875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801084378 | MI | Primary |
Addresses
Primary practice location
575 E Big Beaver Rd
Suite 260
Troy, MI 48083-1300
Mailing address
575 E Big Beaver Rd
Suite 260
Troy, MI 48083-1300
Phone (248) 561-6875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151208002600 | MI | Part B Supplier - Clinic/Group Practice | 0749581130 | Practice locations: Huntington Woods, MI |
National Provider Directory
National Provider DirectoryLocations
26789 Woodward Ave
Ste 208
Huntington Woods, MI 48070
Phone (248) 514-5187
575 E Big Beaver Rd
Ste 260
Troy, MI 48083
Phone (248) 515-8873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445990400000",
"number": "1689046732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 E BIG BEAVER RD",
"address_2": "SUITE 260",
"city": "TROY",
"state": "MI",
"postal_code": "480831300",
"telephone_number": "248-561-6875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 E BIG BEAVER RD",
"address_2": "SUITE 260",
"city": "TROY",
"state": "MI",
"postal_code": "480831300",
"telephone_number": "248-561-6875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DINA BALDWIN BERDY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-28",
"last_updated": "2015-10-28",
"status": "A",
"authorized_official_last_name": "BERDY",
"authorized_official_first_name": "DINA",
"authorized_official_middle_name": "BALDWIN",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "248-561-6875",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801084378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.