Active NPI
David Michael Bair, LLMSW
- Clinical Social Worker
- Pontiac, MI
National Provider Identifier
1861977373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801099541
- Practice address
- 1685 Baldwin Ave Ste 100
Pontiac, MI 48340-1115 - Phone
- (248) 706-3450
- Fax
- (248) 706-3455
- NPI assigned
- Oct 1, 2018
- Last updated
- Aug 1, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801099541 | MI | Primary |
Addresses
Primary practice location
1685 Baldwin Ave Ste 100
Pontiac, MI 48340-1115
Mailing address
435 Tannahill St
Dearborn, MI 48124-1055
Phone (313) 580-2559
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pcerecords.essmichigan@direct.mihin.net |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801099541 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1861977373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 TANNAHILL ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241055",
"telephone_number": "313-580-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1685 BALDWIN AVE STE 100",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483401115",
"telephone_number": "248-706-3450",
"fax_number": "248-706-3455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIR",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-01",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801099541",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pcerecords.essmichigan@direct.mihin.net",
"affiliation": "N",
"address_1": "1685 Baldwin Ave Ste 100",
"city": "Pontiac",
"state": "MI",
"country_code": "US",
"postal_code": "483401115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.