Individual provider Active NPI

Jennifer Simms-Coffey, LMSW

  • Clinical Social Worker
  • Saline, MI
National Provider Identifier
1801321310
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096443 Issued in MI
Practice address
7330 East Michigan Ave
Saline, MI 48176
Phone
(734) 470-3500
NPI assigned
Apr 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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 6801096443 MI Primary

Addresses

Primary practice location

7330 East Michigan Ave
Saline, MI 48176

Mailing address

525 E Michigan Ave # 139
Saline, MI 48176-1588

Other names 1

  • Jennifer Simms Former name

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
I20170707002410 MI Practitioner - Clinical Social Worker 0547539496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Michigan Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 E Michigan Ave
Saline, MI 48176-1588

7330 E Michigan Ave
Suite 2
Saline, MI 48176-9197
Phone (734) 470-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801096443MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Wellness Therapy, LLC Clinical CurrentSince Feb 18, 2019 Accepting new patients

Locations

7330 E Michigan Ave
Saline, MI 48176
Phone (734) 429-9459

7330 E Michigan Ave
Ste 2
Saline, MI 48176
Phone (734) 470-3500

525 E Michigan Ave
#139
Saline, MI 48176

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": "1492905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1801321310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MICHIGAN AVE # 139",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 EAST MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "48176",
            "telephone_number": "734-470-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS-COFFEY",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-23",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SIMMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saline, MI

Sources for this page

Verify at the official NPI Registry.