Crystal Cassandra Shilling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094451 Issued in MI

Practice address

1 Ford PL
Detroit, MI 48202-3450

Phone

(248) 894-0437

NPI assigned

Jun 22, 2012

Last updated

Jan 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Crystal Cassandra Shilling Professional name

Medicare fee-for-service enrollment

Enrolled in MI, AR2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pure Psychiatry of Michigan PLLCGroup PAC ID 1254741283, 102 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cshilling293784@direct.hfhs.org

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.

• Crystal Shilling, LMSW, LLC

  • Clinical Social Worker
  • Farmington Hills, MI
  • NPI 1942967286
  Medicare reassignment NPD Authorized official
• Pure Psychiatry of Michigan PLLC

  • Physician Assistant
  • Wayne, MI
  • NPI 1831701671
  Medicare reassignment Care Compare group NPD
• Northbrook Psychological Clinic PLC

  • Psychologist
  • Novi, MI
  • NPI 1841279288
  Medicare reassignment NPD
• Senior Counseling Services, LLC

  • Clinical Psychologist
  • Farmington Hills, MI
  • NPI 1639283492
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, MI

  Medicare reassignment NPD
• Henry Ford Health System

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1689732414
  Medicare reassignment
• Arcare

  • Federally Qualified Health Center (FQHC)
  • Augusta, AR
  • NPI 1275635542
  Medicare reassignment
• Arcare

  dba ARcare74

  • Federally Qualified Health Center (FQHC)
  • Wynne, AR
  • NPI 1346934841
  NPD
• Arcare

  dba ARcare97

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, AR
  • NPI 1821802729
  NPD
• Aspire Therapy Services, PLLC

  • Psychologist
  • Farmington Hills, MI
  • NPI 1093190100
  NPD (past)
• Pure Psychiatry of Michigan PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plymouth, MI
  • NPI 1417866450
  NPD (past)
• Bobbi Ebsen Psychotherapy LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1689012379
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1881957967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "248-894-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FORD PL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "248-894-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILLING",
        "first_name": "CRYSTAL",
        "middle_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801094451",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "SHILLING",
            "middle_name": "CASSANDRA",
            "credential": "L.L.M.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Aceil Shiha
• Hadeel Awad Shihan, MD
• Mayya Shikhman, PA
• Swarna Shil
• Jessica Eve Shill, MD
• Asheirah-Ase Shiloh, CHW
• Allison Elizabeth Shimmel
• Jane Hae Soo Shin, DO MS
• Jin Shin
• Kesia Elise Shine, ND, MBA, BSHA/IS

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.