Individual provider Active NPI

Sally J Hamerink, LMSW

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1841220654
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801059716 Issued in MI
Practice address
159 S Harvey St
Plymouth, MI 48170-1615
Phone
(734) 895-5374
NPI assigned
Jul 4, 2006
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401000902 MI
Clinical Social Worker 1041C0700X 6801059716 MI Primary

Addresses

Primary practice location

159 S Harvey St
Plymouth, MI 48170-1615

Mailing address

159 S Harvey St
Plymouth, MI 48170-1615
Phone (734) 892-5899

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
I20090128000451 MI Practitioner - Clinical Social Worker 7618031121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

159 S Harvey St
Plymouth, MI 48170-1615
Phone (734) 892-5899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401000902MIMDProfessional Counselor
6801059716MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Counseling, LLC Clinical CurrentSince Jun 14, 2020 Accepting new patients
Emotional Empowerment Services PLLC Clinical CurrentSince Jun 19, 2020 Accepting new patients
Victor M. Cruz MD, P.C. Past Accepting new patients

Locations

159 S Harvey St
Plymouth, MI 48170
Phone (248) 602-0322

Organizations & group practices 3

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1841220654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 S HARVEY ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701615",
            "telephone_number": "734-892-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 S HARVEY ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701615",
            "telephone_number": "734-895-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMERINK",
        "first_name": "SALLY",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401000902",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.