Individual provider Active NPI

Joan Ghougoian, LLMSW

  • Social Worker
  • Chesterfield, MI
National Provider Identifier
1801018650
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801085604 Issued in MI
Practice address
25975 N Knollwood Dr
Suite D
Chesterfield, MI 48051-2632
Phone
(586) 716-2660
Fax
(586) 716-3095
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801085604 MI Primary

Addresses

Primary practice location

25975 N Knollwood Dr
Suite D
Chesterfield, MI 48051-2632

Mailing address

25975 N Knollwood Dr
Suite D
Chesterfield, MI 48051-2632
Phone (586) 716-2660

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
I20080122000638 MI Practitioner - Clinical Social Worker 8729169255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
C W Enterprise LLCGroup PAC ID 2466497904, 2 clinicians

Practice addresses (Care Compare)

51145 Wachington
Suite G
New Baltimore, MI 48047-2100
Phone (586) 273-7095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
C.W. Enterprise LLC CurrentSince Apr 2, 2012 Accepting new patients
C.W. Enterprise LLC Social Worker CurrentSince Apr 2, 2012 Accepting new patients

Locations

32743 23 Mile Rd
Ste 130
Chesterfield, MI 48047
Phone (586) 273-7095

51145 Washington St
Ste G
New Baltimore, MI 48047
Phone (586) 251-0840

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801018650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25975 N KNOLLWOOD DR",
            "address_2": "SUITE D",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512632",
            "telephone_number": "586-716-2660",
            "fax_number": "586-716-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25975 N KNOLLWOOD DR",
            "address_2": "SUITE D",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512632",
            "telephone_number": "586-716-2660",
            "fax_number": "586-716-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOUGOIAN",
        "first_name": "JOAN",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801085604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.