Active NPI
Linda Ditkoff, MSW, ACSW
- Social Worker
- Bingham Farms, MI
National Provider Identifier
1841364023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801062202
- Practice address
- 32270 Telegraph Rd
Ste 240
Bingham Farms, MI 48025-2456 - Phone
- (248) 593-1717
- Fax
- (248) 593-1711
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801062202 | MI | Primary |
Addresses
Primary practice location
32270 Telegraph Rd
Ste 240
Bingham Farms, MI 48025-2456
Mailing address
32270 Telegraph Rd
Ste 240
Bingham Farms, MI 48025-2456
Phone (248) 593-1717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8008959490 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind & Mood Clinic, 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.
-
- Community/Behavioral Health Agency
- West Bloomfield, MI
- NPI 1710012372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1841364023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32270 TELEGRAPH RD",
"address_2": "STE 240",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480252456",
"telephone_number": "248-593-1717",
"fax_number": "248-593-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32270 TELEGRAPH RD",
"address_2": "STE 240",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480252456",
"telephone_number": "248-593-1717",
"fax_number": "248-593-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITKOFF",
"first_name": "LINDA",
"credential": "MSW, ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801062202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8008959490",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.