Molly Patricia Bugamelli

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801034380 Issued in MI

Practice address

36401 Harper Ave
Clinton Township, MI 48035-2957

Phone

(586) 649-7589

NPI assigned

Jun 24, 2021

Last updated

Jun 24, 2021By 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

Wayne State University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Venture CounselingGroup PAC ID 7911386024, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Venture Counseling

  • Clinical Social Worker
  • Mount Clemens, MI
  • NPI 1265086136
  Medicare reassignment Care Compare group NPD
• Convergence Counseling and Consulting, LLC

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1710644786
  NPD

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1932778701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39323 COLUMBIA ST",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480451745",
            "telephone_number": "586-292-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36401 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352957",
            "telephone_number": "586-649-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGAMELLI",
        "first_name": "MOLLY",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801034380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Buckley, MA CCC SLP
• Kelly Renee Buckman, LLMSW
• Amber E Budzinski, PAC
• Matthew Buechler
• Jacquelyn Buffo
• Mallory Kay Bulchak, NP
• Jack Burdick, DO
• Emma Burgess
• Samantha Joyce Burgess, PT, DPT
• Andrea D Burks

• Clinical Social Worker in Clinton Township, MI
• Providers in Clinton Township, 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 Jun 24, 2021; 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.