Individual provider Active NPI

Elyse Fine, LMSW

  • Clinical Social Worker
  • Livonia, MI
National Provider Identifier
1891827317
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801057300 Issued in MI
Practice address
32437 Five Mile Rd
Livonia, MI 48154-3039
Phone
(313) 801-1285
Fax
(734) 421-0306
NPI assigned
Mar 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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 6801057300 MI Primary

Addresses

Primary practice location

32437 Five Mile Rd
Livonia, MI 48154-3039

Mailing address

32437 Five Mile Rd
Livonia, MI 48154-3039
Phone (313) 801-1285

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elyse@elysefinetherapy.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801057300MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elyse Fine LMSW Acsw PLLC Clinical CurrentSince Jan 7, 2024 Accepting new patients
Redford Counseling Past Accepting new patients

Locations

32437 5 Mile Rd
Livonia, MI 48154
Phone (248) 210-4556

25945 W 7 Mile Rd
Redford, MI 48240
Phone (313) 535-6560

Organizations & group practices 2

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": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1891827317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32437 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543039",
            "telephone_number": "313-801-1285",
            "fax_number": "734-421-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32437 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543039",
            "telephone_number": "313-801-1285",
            "fax_number": "734-421-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "ELYSE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801057300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elyse@elysefinetherapy.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "32437 Five Mile Rd",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481543039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.