Individual provider Active NPI

Christal Eason, LMSW, CAAC

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1790924470
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801080517 Issued in MI
Practice address
30560 Southfield Rd
Southfield, MI 48076-1228
Phone
(313) 784-4795
NPI assigned
Feb 19, 2009
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C-02091 MI
Clinical Social Worker 1041C0700X 6801080517 MI Primary

Addresses

Primary practice location

30560 Southfield Rd
Southfield, MI 48076-1228

Mailing address

30560 Southfield Rd Apt 239
Southfield, MI 48076-1228

Other practice location 1

13101 Allen Rd
Southgate, MI 48195-2216
Phone (734) 785-7700

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
I20130222000182 MI Practitioner - Clinical Social Worker 6800041872 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-02091MIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Alternatives LLC CurrentSince Nov 1, 2021 Accepting new patients
Elmhurst Home, Inc. CurrentSince May 13, 2024 Accepting new patients
Care Compassion Center Corp Addiction (Substance Use Disorder) CurrentSince May 1, 2025 Accepting new patients
Cle Strategic Solutions LLC Current Accepting new patients
The Guidance Center CurrentSince Jan 24, 2026 Accepting new patients
D Wallace Health Promotion and Wellness PastSince May 1, 2025 Accepting new patients

Locations

3281 Coolidge Hwy
Berkley, MI 48072
Phone (313) 915-9138

12010 Linwood St
Detroit, MI 48206
Phone (313) 752-6308

31235 Harper Ave
Ste 244
Saint Clair Shores, MI 48082
Phone (313) 334-8402

13101 Allen Rd
Southgate, MI 48195
Phone (734) 785-7701

19291 Northline Rd
Southgate, MI 48195
Phone (734) 287-1500

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1790924470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30560 SOUTHFIELD RD APT 239",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30560 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761228",
            "telephone_number": "313-784-4795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13101 Allen Rd",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "481952216",
            "country_code": "US",
            "telephone_number": "734-785-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASON",
        "first_name": "CHRISTAL",
        "credential": "LMSW, CAAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-02091",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801080517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.