Individual provider Active NPI

Stephanie Morich, LMSW

  • Clinical Social Worker
  • Monroe, MI
National Provider Identifier
1821286188
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801082840 Issued in MI
Practice address
2092 S Custer Rd
Monroe, MI 48161-1831
Phone
(734) 457-2161
Fax
(734) 241-4851
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 6801082840 MI Primary

Addresses

Primary practice location

2092 S Custer Rd
Monroe, MI 48161-1831

Mailing address

2092 S Custer Rd
Monroe, MI 48161-1831
Phone (734) 457-2161

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
I20040623001297 MI Practitioner - Clinical Social Worker 7416932306 Practice locations: Monroe, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2092 S Custer Rd
Monroe, MI 48161-1831
Phone (734) 457-2161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801082840MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Guidance Center of Monroe PLLC Past Accepting new patients

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1821286188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2092 S CUSTER RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611831",
            "telephone_number": "734-457-2161",
            "fax_number": "734-457-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2092 S CUSTER RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611831",
            "telephone_number": "734-457-2161",
            "fax_number": "734-241-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORICH",
        "first_name": "STEPHANIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.