Active NPI
Michael Trepeck
- Clinical Social Worker
- Flint, MI
National Provider Identifier
1841408549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801081272
- Practice address
- 420 W 5TH Ave
Flint, MI 48503-2445 - Phone
- (810) 257-3705
- NPI assigned
- May 18, 2007
- Last updated
- Apr 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801081272 | MI | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
420 W 5TH Ave
Flint, MI 48503-2445
Mailing address
4984 Spring Meadow Dr
Clarkston, MI 48348-5158
Phone (248) 770-8009
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 |
|---|---|---|---|
| Kadima Jewish Support Services for Adults With Mental Illness | Past | Accepting new patients | |
| Henry Ford Eastwood Behavioral Health | Past | Accepting new patients | |
| Henry Ford Health Eastwood Behavioral Health | Past | Accepting new patients |
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.
-
dba Eastwood Clinics
- Psychologist
- Livonia, MI
- NPI 1659591881
-
- Community/Behavioral Health Agency
- Southfield, MI
- NPI 1184836082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1841408549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4984 SPRING MEADOW DR",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483485158",
"telephone_number": "248-770-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W 5TH AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485032445",
"telephone_number": "810-257-3705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREPECK",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801081272",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.