Individual provider Active NPI

Amber Donahue, LMSW

  • Social Worker
  • Bloomfield Township, MI
National Provider Identifier
1891161121
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801109568 Issued in MI
Practice address
4111 Andover Rd Ste 150-W
Bloomfield Township, MI 48302-1909
Phone
(248) 629-0016
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801109568 MI Primary
Clinical Social Worker 1041C0700X 6801109568 MI

Addresses

Primary practice location

4111 Andover Rd Ste 150-W
Bloomfield Township, MI 48302-1909

Mailing address

4111 Andover Rd Ste 150-W
Bloomfield Township, MI 48302-1909
Phone (248) 629-0016

Other names 1

  • Ms. Amber Donahue Other name

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
I20260512000520 MI Practitioner - Clinical Social Worker 2466920145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

52013 Beech Dr
Chesterfield, MI 48047-4558

6045 Whethersfield LN
Apt 32B
Bloomfield Hills, MI 48301-1845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801109568MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Whispers Mental Health Therapy Current Accepting new patients
Early Connections Institute LLC Clinical 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1891161121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 ANDOVER RD STE 150-W",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483021909",
            "telephone_number": "248-629-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 ANDOVER RD STE 150-W",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483021909",
            "telephone_number": "248-629-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "AMBER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801109568",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "DONAHUE",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bloomfield Township, MI

Sources for this page

Verify at the official NPI Registry.