Individual provider Active NPI

Vanessa M Aguirre Dasilva, LICSW

  • Clinical Social Worker
  • Novi, MI
National Provider Identifier
1972942910
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801113634 Issued in MI
Practice address
24230 Karim Blvd Ste 100
Novi, MI 48375-2960
Phone
(248) 409-4133
NPI assigned
Jun 24, 2013
Last updated
Dec 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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 6801113634 MI Primary

Addresses

Primary practice location

24230 Karim Blvd Ste 100
Novi, MI 48375-2960

Mailing address

24230 Karim Blvd Ste 100
Novi, MI 48375-2960
Phone (248) 409-4133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20161117002477 MA Practitioner - Clinical Social Worker 0143509992 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801113634MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cartwheel Health Services PC Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

73 W Monroe St
Ste 422
Chicago, IL 60603

625 Massachusetts Ave
Fl 2
Cambridge, MA 02139
Phone (703) 336-9440

700 Massachusetts Ave
Fl 3
Cambridge, MA 02139
Phone (617) 693-7001

1045 Elm St
Ste 204
Manchester, NH 03101
Phone (603) 851-3801

10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242

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, 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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1972942910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24230 KARIM BLVD STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752960",
            "telephone_number": "248-409-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24230 KARIM BLVD STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752960",
            "telephone_number": "248-409-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE DASILVA",
        "first_name": "VANESSA",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801113634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.