Nancy Dahms Petrides, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801033601 Issued in MI

Practice address

37799 Professional Center Dr
Suite 106
Livonia, MI 48154

Phone

(248) 343-4695

NPI assigned

Apr 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Nancy Lynne Dahms Former name

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

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Stonebrook Counseling Associates PLLCGroup PAC ID 1951377688, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stonebrook Counseling Associates PLLC

  • Social Worker
  • Livonia, MI
  • NPI 1861571846
  Medicare reassignment Care Compare group NPD Authorized official
• Apex Behavioral Health,PLLC

  • Social Worker
  • Westland, MI
  • NPI 1821025347
  NPD (past)
• C. Victoria Harrington, Acsw, PLC

  • Clinical Social Worker
  • Livonia, MI
  • NPI 1023152568
  NPD (past)

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902869233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37799 PROFESSIONAL CENTER DR",
            "address_2": "SUITE 106",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "248-343-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37799 PROFESSIONAL CENTER DR",
            "address_2": "SUITE 106",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "248-343-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIDES",
        "first_name": "NANCY",
        "middle_name": "DAHMS",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801033601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "DAHMS",
            "middle_name": "LYNNE",
            "prefix": "MISS",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Peters
• Aida N. Peterson, D.D.S.,M.S.
• Destiny Peterson
• Stacey Lynn Peterson, MS, LLP
• Tamia Tonie Peterson
• Mark Petrous, M.D.
• Rachel Petrus
• Latasha Pettas
• Brittany Pettway
• Samantha Pfiffner, MD

• Social Worker in Livonia, MI
• Providers in Livonia, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.