Individual provider Active NPI

Patricia Moskos, LMSW

  • Clinical Social Worker
  • Brighton, MI
National Provider Identifier
1912065897
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801073648 Issued in MI
Practice address
12851 Grand River Rd
Brighton, MI 48116-8506
Phone
(810) 227-1211
Fax
(810) 220-5509
NPI assigned
Dec 4, 2006
Last updated
May 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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 6801073648 MI Primary

Addresses

Primary practice location

12851 Grand River Rd
Brighton, MI 48116-8506

Mailing address

12851 Grand River Rd
Brighton, MI 48116-8506
Phone (810) 227-1211

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
I20050317000818 MI Practitioner - Clinical Social Worker 8224083654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Family ServiceGroup PAC ID 8729071170, 13 clinicians

Practice addresses (Care Compare)

6555 W Maple Rd
West Bloomfield, MI 48322-4926
Phone (248) 592-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Brighton Center for Recovery CurrentSince Feb 22, 2017 Accepting new patients
Jewish Family Service Clinical CurrentSince Feb 14, 2023 Accepting new patients
Aspire Therapy Services, PLLC PastSince Jul 9, 2023 Accepting new patients
New Center Community Mental Health Services PastSince Sep 2, 2008 Accepting new patients
Macomb Family Services, Inc Clinical Past Accepting new patients
Relationship Times Clinical Past Accepting new patients
New Center Community Mental Health Services Past Accepting new patients
Senior Counseling Services, LLC Clinical PastSince Dec 13, 2020 Accepting new patients
Macomb Family Services, Inc. Clinical PastSince Jan 1, 1995 Accepting new patients

Locations

12851 Grand River Rd
Brighton, MI 48116
Phone (810) 225-2506

6555 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 592-2300

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/macombfamily/r4/

Organizations & group practices 9

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1912065897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12851 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481168506",
            "telephone_number": "810-227-1211",
            "fax_number": "810-220-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12851 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481168506",
            "telephone_number": "810-227-1211",
            "fax_number": "810-220-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOS",
        "first_name": "PATRICIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801073648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.