Individual provider Active NPI

Miriam Berry Seagle, LMSW

  • Social Worker
  • Farmington Hills, MI
National Provider Identifier
1942340500
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801070720 Issued in MI
Practice address
31700 W 13 Mile Rd
Suite 219
Farmington Hills, MI 48334-2166
Phone
(248) 787-6464
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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 6801070720 MI Primary

Addresses

Primary practice location

31700 W 13 Mile Rd
Suite 219
Farmington Hills, MI 48334-2166

Mailing address

4372 Greenstown Dr
West Bloomfield, MI 48323-2725
Phone (248) 681-8176

Other identifiers 1

IdentifierTypeStateIssuer
MI5323OtherMIMEDICARE PTAN NUMBER

Other names 1

  • Miriam Berry-Seagle Former name

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
I20090701000258 MI Practitioner - Clinical Social Worker 4789735879 Practice locations: West Bloomfield, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5600 W Maple Rd
Suite B212
West Bloomfield, MI 48322-3787
Phone (248) 787-6464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801070720MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Perspectives Time Well Spent Counseling and Resource Cent PastSince Mar 20, 2022 Accepting new patients
Gales Institute on Aging and Family Counseling, LLC PastSince Dec 17, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1942340500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4372 GREENSTOWN DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232725",
            "telephone_number": "248-681-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 W 13 MILE RD",
            "address_2": "SUITE 219",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342166",
            "telephone_number": "248-787-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGLE",
        "first_name": "MIRIAM",
        "middle_name": "BERRY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801070720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER",
            "identifier": "MI5323",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "BERRY-SEAGLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.