Individual provider Active NPI

Claire Hall

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1902559545
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
19445 W Warren Ave
Detroit, MI 48228-3361
Phone
(313) 281-2235
Fax
(313) 281-2235
NPI assigned
Feb 2, 2022
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 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 Primary

Addresses

Primary practice location

19445 W Warren Ave
Detroit, MI 48228-3361

Mailing address

19445 W Warren Ave
Detroit, MI 48228-3361
Phone (313) 281-2235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231020003149 FL Practitioner - Clinical Social Worker 0446606875 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amelia Behavioral Wellness LLC CurrentSince Oct 5, 2023 Accepting new patients

Locations

1896 S 14th St
Ste 6
Fernandina Beach, FL 32034
Phone (904) 310-9652

1542 Kingsley Ave
Ste 141
Orange Park, FL 32073
Phone (904) 278-9828

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1902559545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19445 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283361",
            "telephone_number": "313-281-2235",
            "fax_number": "313-281-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19445 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283361",
            "telephone_number": "313-281-2235",
            "fax_number": "313-281-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CLAIRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.