Individual provider Active NPI

Hannah Wingo, LMSW, MSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1760842991
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093220 Issued in MI
Practice address
18400 Schaefer Hwy
Detroit, MI 48235-1754
Phone
(248) 631-8517
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801093220 MI Primary

Addresses

Primary practice location

18400 Schaefer Hwy
Detroit, MI 48235-1754

Mailing address

8623 N Wayne Rd
Westland, MI 48185-1137
Phone (734) 367-0469

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
I20160526001090 MI Practitioner - Clinical Social Worker 3971893314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katherine Kezelian LLCGroup PAC ID 9739694803, 2 clinicians

Practice addresses (Care Compare)

307 W 6TH St
Suite 201
Royal Oak, MI 48067-2548
Phone (248) 463-8263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Kezelian, LLC Clinical CurrentSince Jun 1, 2025 Accepting new patients
A New Beginning Past Accepting new patients

Locations

307 W 6th St
Ste 201
Royal Oak, MI 48067
Phone (248) 463-8263

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": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1760842991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8623 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851137",
            "telephone_number": "734-367-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 SCHAEFER HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351754",
            "telephone_number": "248-631-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGO",
        "first_name": "HANNAH",
        "credential": "LMSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.