Individual provider Active NPI

Heidi Elisabeth Grogan, LMSW

  • Social Worker
  • Plymouth, MI
National Provider Identifier
1720237407
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
14500 N Sheldon Rd # 160a
Plymouth, MI 48170-2597
Phone
(734) 656-0130
Fax
(734) 656-9845
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 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 Primary

Addresses

Primary practice location

14500 N Sheldon Rd # 160a
Plymouth, MI 48170-2597

Mailing address

1400 E 12 Mile Rd
Madison Heights, MI 48071-2651
Phone (734) 656-0130

Other identifiers 1

IdentifierTypeStateIssuer
6801091158OtherMIMASTER'S SOCIAL WORKER CLINICAL LICENSE

Other names 1

  • Ms. Heidi Elisabeth Gray Former name

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
I20130227000610 MI Practitioner - Clinical Social Worker 4284889064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Rehabilitation Center, Inc. Current Accepting new patients
Sacred Heart Rehabilitation Center, Inc. Past Accepting new patients

Locations

28303 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 439-1759

400 Stoddard Rd
Richmond, MI 48062

19611 E 8 Mile Rd
St Clr Shores, MI 48080
Phone (586) 541-9550

Organizations & group practices 2

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1720237407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712651",
            "telephone_number": "734-656-0130",
            "fax_number": "734-656-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 N SHELDON RD # 160A",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702597",
            "telephone_number": "734-656-0130",
            "fax_number": "734-656-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGAN",
        "first_name": "HEIDI",
        "middle_name": "ELISABETH",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTER'S SOCIAL WORKER CLINICAL LICENSE",
            "identifier": "6801091158",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "GRAY",
            "middle_name": "ELISABETH",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.