Individual provider Active NPI

Michelle Rae Defrancesco, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1891261533
Registry record updated Oct 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098671 Issued in MI
Practice address
3200 W Liberty Rd
Ann Arbor, MI 48103-9746
Phone
(734) 999-7425
NPI assigned
Oct 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801098671 MI Primary

Addresses

Primary practice location

3200 W Liberty Rd
Ann Arbor, MI 48103-9746

Mailing address

210 Pleasant PL
Ann Arbor, MI 48103-3924
Phone (734) 645-9270

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
I20181113002684 MI Practitioner - Clinical Social Worker 9739433681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3285 S Huron Pkwy
Suite 2N
Ann Arbor, MI 48104-5127
Phone (734) 408-1395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801098671MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Head & Heart Psychotherapy Services, PLLC Clinical CurrentSince Aug 1, 2022 Accepting new patients

Locations

2385 S Huron Pkwy
Ste 2N
Ann Arbor, MI 48104
Phone (734) 255-8082

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.

NPI Registry JSON

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

{
    "created_epoch": "1539993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539993600000",
    "number": "1891261533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PLEASANT PL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033924",
            "telephone_number": "734-645-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W LIBERTY RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039746",
            "telephone_number": "734-999-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRANCESCO",
        "first_name": "MICHELLE",
        "middle_name": "RAE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-20",
        "last_updated": "2018-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.