Active NPI
Henry Christopher Millbourne, MSW
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1902214430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801017866
- Practice address
- 3011 W Grand Blvd
Suite 230
Detroit, MI 48202-3096 - Phone
- (313) 446-9800
- Fax
- (313) 446-9839
- NPI assigned
- Jul 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801017866 | MI | Primary |
Addresses
Primary practice location
3011 W Grand Blvd
Suite 230
Detroit, MI 48202-3096
Mailing address
3011 W Grand Blvd
Suite 230
Detroit, MI 48202-3096
Phone (313) 446-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.64 of 100
- Quality
- 58.04
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 81.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Development Centers, Inc. | Clinical | Current | Accepting new patients |
Locations
17421 Telegraph Rd
Detroit, MI 48219
Phone (313) 255-0900
24424 W McNichols Rd
Detroit, MI 48219
Phone (313) 255-0900
17141 Ryan Rd
Hamtramck, MI 48212
Phone (313) 369-1717
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": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1902214430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 W GRAND BLVD",
"address_2": "SUITE 230",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023096",
"telephone_number": "313-446-9800",
"fax_number": "313-446-9839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 W GRAND BLVD",
"address_2": "SUITE 230",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023096",
"telephone_number": "313-446-9800",
"fax_number": "313-446-9839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLBOURNE",
"first_name": "HENRY",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-29",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801017866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.