Individual provider Active NPI

Ziqian Shen

  • Social Worker
  • Bloomfield Hills, MI
National Provider Identifier
1922777515
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851114250 Issued in MI
Practice address
43902 Woodward Ave Ste 230
Bloomfield Hills, MI 48302-5022
Phone
(248) 481-8428
Fax
(248) 977-5462
NPI assigned
Sep 8, 2021
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6851114250 MI Primary

Addresses

Primary practice location

43902 Woodward Ave Ste 230
Bloomfield Hills, MI 48302-5022

Mailing address

12200 E 13 Mile Rd # 200
Warren, MI 48093-3093

Other identifiers 1

IdentifierTypeStateIssuer
1922777515MedicaidMI

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
I20250307001373 MI Practitioner - Clinical Social Worker 0547781429 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Psychiatry of Michigan PLLC CurrentSince Dec 1, 2025 Accepting new patients
Pure Psychiatry of Michigan PLLC PastSince Dec 1, 2025 Accepting new patients

Locations

2755 Carpenter Rd
Ste 3SE
Ann Arbor, MI 48108
Phone (734) 548-6099

650 E Big Beaver Rd
Ste C
Troy, MI 48083
Phone (248) 781-8921

34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640

Organizations & group practices 2

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1922777515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 E 13 MILE RD # 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43902 WOODWARD AVE STE 230",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025022",
            "telephone_number": "248-481-8428",
            "fax_number": "248-977-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "ZIQIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851114250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922777515",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.