Active NPI
Neoshua Butler
- Clinical Social Worker
- Ferndale, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 800 Hilton Rd
Ferndale, MI 48220-2505 - Phone
- (248) 238-8074
- Fax
- (248) 665-8685
- NPI assigned
- Nov 22, 2017
- Last updated
- Oct 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary | |
| School Social Worker | 1041S0200X | MI | ||
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
800 Hilton Rd
Ferndale, MI 48220-2505
Mailing address
17619 Steel St
Detroit, MI 48235-1447
Phone (248) 238-8074
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Wayne State University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
29800 Harper Ave
Saint Clair Shores, MI 48082-1655
Phone (248) 417-0248
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opening New Doors LLC | Clinical | Current | Accepting new patients |
Locations
800 Hilton Rd
Ste 5
Ferndale, MI 48220
Phone (248) 238-8074
29800 Harper Ave
Saint Clair Shores, MI 48082
Phone (248) 410-4797
Organizations & group practices 1
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": "1511308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1699289918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17619 STEEL ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482351447",
"telephone_number": "248-238-8074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HILTON RD",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482202505",
"telephone_number": "248-238-8074",
"fax_number": "248-665-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "NEOSHUA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-22",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.