Mirjana Jovicic

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801113890 Issued in MI

Practice address

1259 Terrace Ave
Adrian, MI 49221-1837

Phone

(313) 409-3120

NPI assigned

Jul 23, 2021

Last updated

Nov 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adriancounselingandpsychiatricclinic.mirjanajovic@153442.advancedmd-direct.com

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.

• Mia Online Therapy Services, LLC

  • Clinical Social Worker
  • Adrian, MI
  • NPI 1679246714

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Acpc PLLC

  • Physician Assistant
  • Adrian, MI
  • NPI 1831658483
  Medicare reassignment NPD

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1912570110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 TERRACE AVE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211837",
            "telephone_number": "313-409-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 TERRACE AVE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211837",
            "telephone_number": "313-409-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVICIC",
        "first_name": "MIRJANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801113890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Michael Johnson, PHD
• Sara Johnson
• Jon Vincent Schoonmaker
• Brittney Jones
• Elmira Jane Jones, LMSW
• Judith Roes Hammerle, PH.D., LLC
• Lacey Danielle Jung
• Louise Anne Justus, PHYSICIAN ASSISTANT
• Amanda Kaczmarek
• Savithri Kakani, PAC

• Clinical Social Worker in Adrian, MI
• Providers in Adrian, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; 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.