Individual provider Active NPI

Candice Hemberg, LMSW

  • Clinical Social Worker
  • Shelby Township, MI
National Provider Identifier
1952451536
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801020783 Issued in MI
Practice address
45445 Mound
Suite 109
Shelby Township, MI 48317
Phone
(586) 254-5660
Fax
(586) 254-0622
NPI assigned
Jan 12, 2007
Last updated
Feb 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801020783 MI Primary

Addresses

Primary practice location

45445 Mound
Suite 109
Shelby Township, MI 48317

Mailing address

36975 Utica Road
Suite 103
Clinton Township, MI 48036
Phone (586) 226-3440

Other identifiers 1

IdentifierTypeStateIssuer
L968699OtherMIDEPT OF COMMUNITY HEALTH

Other names 1

  • Candice Hemberg Other 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
I20140207001452 MI Practitioner - Clinical Social Worker 8527297829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Macomb Family Services IncGroup PAC ID 5193700888, 19 clinicians

Practice addresses (Care Compare)

43928 Mound Rd
Suite 100
Sterling Heights, MI 48314-2081
Phone (586) 254-5660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801020783MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Macomb Cancer Specialists, PC CurrentSince Jan 1, 2021 Accepting new patients
Macomb Family Services, Inc. Clinical CurrentSince Sep 7, 2013 Accepting new patients
Macomb Family Services, Inc Clinical PastSince Sep 7, 2013 Accepting new patients

Locations

36975 Utica Rd
Ste 103
Clinton Twp, MI 48036
Phone (586) 226-3440

36975 Utica Rd
Ste 104
Clinton Twp, MI 48036
Phone (586) 226-3440

45445 Mound Rd
Ste 109
Shelby Township, MI 48317
Phone (586) 254-5660

43928 Mound Rd
Ste 100
Sterling Hts, MI 48314
Phone (586) 254-5660

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/macombfamily/r4/

Organizations & group practices 3

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1952451536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36975 UTICA ROAD",
            "address_2": "SUITE 103",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-226-3440",
            "fax_number": "586-226-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45445 MOUND",
            "address_2": "SUITE 109",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "48317",
            "telephone_number": "586-254-5660",
            "fax_number": "586-254-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMBERG",
        "first_name": "CANDICE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801020783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF COMMUNITY HEALTH",
            "identifier": "L968699",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "HEMBERG",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.