Individual provider Active NPI

Stephanie Marie Maul, LLMSW

  • Social Worker
  • Utica, MI
National Provider Identifier
1740832112
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801104859 Issued in MI
Practice address
45660 Schoenherr Rd
Utica, MI 48315-6033
Phone
(586) 566-3020
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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 6801104859 MI Primary

Addresses

Primary practice location

45660 Schoenherr Rd
Utica, MI 48315-6033

Mailing address

18308 Wimbledon CT
Clinton Township, MI 48038-1240
Phone (586) 321-0863

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
I20220913002648 MI Practitioner - Clinical Social Worker 7416332317 Reassigns benefits to 2 organizations

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
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

13001 23 Mile Rd
Suite 103
Shelby Township, MI 48315-2767
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801104859MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Threads Therapy, PLLC Current Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Oct 21, 2022 Accepting new patients
Henry Ford Health Eastwood Behavioral Health Social Worker CurrentSince Aug 10, 2022 Accepting new patients

Locations

22600 Hall Rd
Ste 201
Clinton Twp, MI 48036
Phone (586) 496-4503

37500 Garfield Rd
Ste 175
Clinton Twp, MI 48036
Phone (586) 792-5335

17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070

1460 Walton Blvd
Ste 120
Rochester Hills, MI 48309
Phone (248) 844-6234

13001 23 Mile Rd
Ste 103
Shelby Township, MI 48315
Phone (248) 602-2593

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

45660 Schoenherr Rd
Utica, MI 48315
Phone (586) 566-3020

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1740832112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18308 WIMBLEDON CT",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381240",
            "telephone_number": "586-321-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45660 SCHOENHERR RD",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483156033",
            "telephone_number": "586-566-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUL",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801104859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

Verify at the official NPI Registry.