Individual provider Active NPI

Rebecca S Ehle, MSW,CSW

  • Social Worker
  • Troy, MI
National Provider Identifier
1952448334
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801061697 Issued in MI
Practice address
33975 Dequindre Rd
Suite 5
Troy, MI 48083
Phone
(248) 585-3239
Fax
(248) 616-9759
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801061697 MI
Social Worker 104100000X 6801061697 MI Primary

Addresses

Primary practice location

33975 Dequindre Rd
Suite 5
Troy, MI 48083

Mailing address

422 Wesley St
Rochester Hills, MI 48307-1866

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
I20090212000231 MI Practitioner - Clinical Social Worker 9234294919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1130 Tienken CT
Suite 211
Rochester Hills, MI 48306-4370
Phone (248) 961-2578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801061697MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Oakland Anxiety Center, PLLC CurrentSince Mar 4, 2017 Accepting new patients

Locations

1130 Tienken Ct
Ste 211
Rochester Hills, MI 48306
Phone (248) 961-2578

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1952448334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 WESLEY ST",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33975 DEQUINDRE RD",
            "address_2": "SUITE 5",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48083",
            "telephone_number": "248-585-3239",
            "fax_number": "248-616-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLE",
        "first_name": "REBECCA",
        "middle_name": "S",
        "credential": "MSW,CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801061697",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801061697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.