Active NPI
Phyllis T Edelstein, MSW LMSW
- Social Worker
- Northville, MI
National Provider Identifier
1780787135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801072134
- Practice address
- 115 North Center St Suite 202
Northville Counseling Center Megira
Northville, MI 48167 - Phone
- (248) 347-3470
- Fax
- (248) 347-2242
- NPI assigned
- Sep 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801072134 | MI | Primary |
Addresses
Primary practice location
115 North Center St Suite 202
Northville Counseling Center Megira
Northville, MI 48167
Mailing address
4187 Antique Lane
Bloomfield Hills, MI 48302
Phone (248) 626-7539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801072134 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786233600000",
"number": "1780787135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4187 ANTIQUE LANE",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "48302",
"telephone_number": "248-626-7539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 NORTH CENTER ST SUITE 202",
"address_2": "NORTHVILLE COUNSELING CENTER MEGIRA",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "48167",
"telephone_number": "248-347-3470",
"fax_number": "248-347-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDELSTEIN",
"first_name": "PHYLLIS",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "MSW LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2026-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801072134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.