Individual provider Active NPI

Elyse Rose Wartel, LMSW

  • Clinical Social Worker
  • Hamtramck, MI
National Provider Identifier
1912372004
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091752 Issued in MI
Practice address
9740 Conant St
Hamtramck, MI 48212-3307
Phone
(313) 556-9900
NPI assigned
Dec 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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 6801091752 MI Primary

Addresses

Primary practice location

9740 Conant St
Hamtramck, MI 48212-3307

Mailing address

2891 E Maple Rd
Suite 100
Troy, MI 48083-6106
Phone (248) 726-0127

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
I20151223000317 MI Practitioner - Clinical Social Worker 3476854183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Focus ProgramGroup PAC ID 1658780416, 3 clinicians

Practice addresses (Care Compare)

2891 E Maple Rd
Suite 200
Troy, MI 48083-6106
Phone (248) 246-6355

Merit-based Incentive Payment System (MIPS)

Final score
29.33 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
97.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091752MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Program CurrentSince Sep 1, 2022 Accepting new patients

Locations

4160 John R St
Ste 522
Detroit, MI 48201
Phone (313) 745-1293

9740 Conant St
Hamtramck, MI 48212
Phone (313) 556-9900

9740 Conant St
Ste 5
Hamtramck, MI 48212
Phone (313) 556-9900

21675 Coolidge Hwy
Ste A
Oak Park, MI 48237
Phone (248) 546-3467

2891 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 246-6355

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": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1912372004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 E MAPLE RD",
            "address_2": "SUITE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836106",
            "telephone_number": "248-726-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123307",
            "telephone_number": "313-556-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARTEL",
        "first_name": "ELYSE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

Verify at the official NPI Registry.