Individual provider Active NPI

Noor Al-Omari

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1821611567
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106957 Issued in MI
Practice address
1777 Axtell Dr
Troy, MI 48084-4404
Phone
(248) 787-0855
Fax
(248) 385-1193
NPI assigned
May 27, 2020
Last updated
May 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 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 6801106957 MI Primary

Addresses

Primary practice location

1777 Axtell Dr
Troy, MI 48084-4404

Mailing address

1777 Axtell Dr
Troy, MI 48084-4404

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
I20220831002212 MI Practitioner - Clinical Social Worker 1850775479 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801106957MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Therapy Group, PLLC Clinical CurrentSince Aug 1, 2022 Accepting new patients
Lumen Therapeutic Services, P.L.L.C. Current Accepting new patients
Bettermind Wellness LLC CurrentSince Feb 1, 2025 Accepting new patients
Common Ground CurrentSince Apr 5, 2024 Accepting new patients
Hani Mekhael MD II PLLC CurrentSince Nov 6, 2025 Accepting new patients

Locations

3265 Five Points Dr
Ste A
Auburn Hills, MI 48326
Phone (248) 609-1234

1410 S Telegraph Rd
Bloomfield Township, MI 48302
Phone (248) 451-3743

50475 Gratiot Ave
Ste B
Chesterfield, MI 48051
Phone (586) 598-0050

42815 Garfield Rd
Ste 201
Clinton Twp, MI 48038
Phone (586) 333-5328

1200 N Telegraph Rd
#32E
Pontiac, MI 48341
Phone (248) 451-2600

Organizations & group practices 5

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1821611567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844404",
            "telephone_number": "248-787-0855",
            "fax_number": "248-385-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-OMARI",
        "first_name": "NOOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.