Individual provider Active NPI

Mona Belsare, LMSW

  • Clinical Social Worker
  • West Bloomfield, MI
National Provider Identifier
1760011142
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1595 Sugar Maple Way
West Bloomfield, MI 48324-4006
Phone
(734) 223-4963
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801085247 MI
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1595 Sugar Maple Way
West Bloomfield, MI 48324-4006

Mailing address

1595 Sugar Maple Way
West Bloomfield, MI 48324-4006
Phone (734) 223-4963

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
I20201006000770 MI Practitioner - Clinical Social Worker 9931528262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

West Bloomfield, MI 48324
Phone (248) 720-5967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Counseling LLC Mental Health CurrentSince Nov 1, 2021 Accepting new patients

Locations

143 Cadycentre
Northville, MI 48167
Phone (248) 348-0333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1760011142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SUGAR MAPLE WAY",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483244006",
            "telephone_number": "734-223-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SUGAR MAPLE WAY",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483244006",
            "telephone_number": "734-223-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELSARE",
        "first_name": "MONA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801085247",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.