Individual provider Active NPI

Marla L Hull, BSW, LMSW

  • Clinical Social Worker
  • Eastpointe, MI
National Provider Identifier
1902133812
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801016277 Issued in MI
Practice address
20960 Kelly Rd
Suite B
Eastpointe, MI 48021-3137
Phone
(586) 585-1955
Fax
(586) 585-1963
NPI assigned
Nov 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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 6801016277 MI Primary

Addresses

Primary practice location

20960 Kelly Rd
Suite B
Eastpointe, MI 48021-3137

Mailing address

20960 Kelly Rd
Suite B
Eastpointe, MI 48021-3137
Phone (586) 585-1955

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
I20190718003321 MI Practitioner - Clinical Social Worker 7618203209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hull Behavioral Health LLC CurrentSince Jan 16, 2021 Accepting new patients
New Horizons Mental Health Services PLLC Past Accepting new patients
New Horizons Specialty Care Services LLC Past Accepting new patients

Locations

15224 Kercheval Ave
Grosse Pointe Park, MI 48230
Phone (313) 215-0385

16824 Kercheval Ave
Ste 215
Grosse Pointe Park, MI 48230
Phone (313) 215-0385

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": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1902133812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20960 KELLY RD",
            "address_2": "SUITE B",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213137",
            "telephone_number": "586-585-1955",
            "fax_number": "586-585-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20960 KELLY RD",
            "address_2": "SUITE B",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213137",
            "telephone_number": "586-585-1955",
            "fax_number": "586-585-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "MARLA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "BSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801016277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

Verify at the official NPI Registry.