Individual provider Active NPI

Jennifer Lynn Chapuseaux, LMSW

  • Clinical Social Worker
  • Livonia, MI
National Provider Identifier
1831249895
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801078075 Issued in MI
Practice address
18316 Middlebelt Rd
Livonia, MI 48152-5007
Phone
(248) 615-9730
NPI assigned
Jan 11, 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
Clinical Social Worker 1041C0700X 6801078075 MI Primary

Addresses

Primary practice location

18316 Middlebelt Rd
Livonia, MI 48152-5007

Mailing address

1126 Polo Dr
#8
South Lyon, MI 48178-5322
Phone (248) 615-9730

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
I20050307000390 MI Practitioner - Clinical Social Worker 0244284826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Behavioral Clinic LLCGroup PAC ID 0446503130, 13 clinicians

Practice addresses (Care Compare)

210 W Highland Rd
Suite 102
Highland, MI 48357-4573
Phone (248) 529-3167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801078075MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Behavioral Clinic LLC CurrentSince Jun 1, 2019 Accepting new patients
Lifespan Clinical Serivces Past Accepting new patients

Locations

210 W Highland Rd
Ste 102
Highland, MI 48357
Phone (248) 529-3167

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831249895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 POLO DR",
            "address_2": "#8",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481785322",
            "telephone_number": "248-615-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18316 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481525007",
            "telephone_number": "248-615-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPUSEAUX",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801078075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.